PONNUSWAMY T SWAMY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048866

License Status

NOT RENEWED

Business

First Name

PONNUSWAMY T

Last Name

SWAMY

Suffix

Business Name

PONNUSWAMY T SWAMY MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

INDIANAPOLIS

State

Zip

46244

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006