PURSHOTHAM DAS S GURUJAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046622

License Status

NOT RENEWED

Business

First Name

PURSHOTHAM DAS S

Last Name

GURUJAL

Suffix

Business Name

PURSHOTHAM DAS S GURUJAL MD

Original Issue Date

11/16/1972

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

11/01/2017