TUMMALA R PRASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049087

License Status

NOT RENEWED

Business

First Name

TUMMALA R

Last Name

PRASAD

Suffix

Business Name

TUMMALA R PRASAD MD

Original Issue Date

03/26/1974

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PORT ST LUCIE

State

Zip

34983

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/06/2008