KOTTAPURATH K KUNJUMOIDEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

KOTTAPURATH

Middle

Last Name

KUNJUMOIDEEN

Suffix

Business Name

KOTTAPURATH K KUNJUMOIDEEN MD

Original Issue Date

05/06/2009

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

DEBARY

State

Zip

32713

County

FLORIDA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017