SHARAT K KUSUMA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118019

License Status

INACTIVE

Business

First Name

SHARAT

Middle

Last Name

KUSUMA

Suffix

Business Name

SHARAT K KUSUMA MD

Original Issue Date

04/04/2007

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

MCDONOUGH

State

Zip

30253

Ever Disciplined

LastModifiedDate

06/24/2014