POWELL OLIAPURAM JOSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122651

License Status

INACTIVE

Business

First Name

POWELL

Middle

OLIAPURAM

Last Name

JOSE

Suffix

Business Name

POWELL OLIAPURAM JOSE MD

Original Issue Date

02/20/2009

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

FREMONT

State

Zip

94539

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/08/2014