VITHAL KUSUMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055273

License Status

NOT RENEWED

Business

First Name

VITHAL

Last Name

KUSUMA

Suffix

Business Name

VITHAL KUSUMA MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/01/1978

City

DES MOINES

State

Zip

50322

County

IOWA

Ever Disciplined

LastModifiedDate

04/14/2014