SUNITHA SASIKANTH ADIGOPULA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056808

License Status

CANCELLED

Business

Title

First Name

SUNITHA

Middle

SASIKANTH

Last Name

ADIGOPULA

Business Name

SUNITHA SASIKANTH ADIGOPULA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

FORT COLLINS

State

Zip

80528

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/20/2009