GLENN IMMANUEL KOLLURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138286

License Status

NOT RENEWED

Business

Title

First Name

GLENN

Middle

IMMANUEL

Last Name

KOLLURI

Business Name

GLENN IMMANUEL KOLLURI MD

Original Issue Date

06/15/2015

Effective Date

06/15/2015

Expiration Date

07/31/2017

City

MIAMI

State

Zip

33175

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017