GAJAHNAN KUGAKUMARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084400

License Status

ACTIVE

Business

Title

First Name

GAJAHNAN

Last Name

KUGAKUMARAN

Business Name

GAJAHNAN KUGAKUMARAN MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

QUINCY

State

Zip

62301

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2024