SHAKUNTALA KRISHNANKUTTY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****19

NOT RENEWED

N

SHAKUNTALA

KRISHNANKUTTY

MD

SHAKUNTALA KRISHNANKUTTY MD

01/01/1997

06/06/2011

07/31/2014

MOORPARK

CA

93021

CALIFORNIA

II III IV V

N

11/17/2014