PURNIMA RANI TRIPATHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134740

License Status

NOT RENEWED

Business

Title

First Name

PURNIMA

Middle

RANI

Last Name

TRIPATHY

Business Name

PURNIMA RANI TRIPATHY MD

Original Issue Date

03/05/2014

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/01/2017