PADMA PODDUTOORI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123962

License Status

NOT RENEWED

Business

Title

First Name

PADMA

Last Name

PODDUTOORI

Business Name

PADMA PODDUTOORI MD

Original Issue Date

07/09/2009

Effective Date

07/09/2009

Expiration Date

07/31/2011

City

JACKSONVILLE

State

Zip

32256

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/14/2011