SUSMITHA PUPPALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050004

License Status

EXPIRED

Business

First Name

SUSMITHA

Last Name

PUPPALA

Suffix

Business Name

SUSMITHA PUPPALA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

SANDY SPRINGS

State

Zip

30350

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/31/2008