KOTTAPURATH K KUNJUMOIDEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123349

License Status

NOT RENEWED

Business

First Name

KOTTAPURATH

Middle

Last Name

KUNJUMOIDEEN

Suffix

Business Name

KOTTAPURATH K KUNJUMOIDEEN MD

Original Issue Date

05/05/2009

Effective Date

11/10/2014

Expiration Date

07/31/2017

City

DEBARY

State

Zip

32713

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017