AMRUTA R DUTIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070016

License Status

EXPIRED

Business

Title

First Name

AMRUTA

Middle

Last Name

DUTIA

Business Name

AMRUTA R DUTIA MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020