AMOD OM SUREKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107639

License Status

NOT RENEWED

Business

First Name

AMOD

Middle

Last Name

SUREKA

Suffix

Business Name

AMOD OM SUREKA MD

Original Issue Date

08/07/2002

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

JOHNS CREEK

State

Zip

30022

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/30/2023