MOHAN M MENON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045288

License Status

INACTIVE

Business

First Name

MOHAN M

Last Name

MENON

Suffix

Business Name

MOHAN M MENON MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1993

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006