SUPARNA KOHLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123811

License Status

NOT RENEWED

Business

First Name

SUPARNA

Last Name

KOHLI

Suffix

Business Name

SUPARNA KOHLI MD

Original Issue Date

06/22/2009

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/17/2014