RAJA RAMESH GUMMALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132318

License Status

NOT RENEWED

Business

Title

First Name

RAJA

Middle

RAMESH

Last Name

GUMMALLA

Business Name

RAJA RAMESH GUMMALLA MD

Original Issue Date

04/09/2013

Effective Date

04/09/2013

Expiration Date

07/31/2014

City

JACKSONVILLE

State

Zip

32256

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014