KOPPOLU PURUSHOT SARMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054530

License Status

NOT RENEWED

Business

First Name

KOPPOLU PURUSHOT

Last Name

SARMA

Suffix

Business Name

KOPPOLU PURUSHOT SARMA MD

Original Issue Date

05/03/1977

Effective Date

05/03/1977

Expiration Date

07/01/1982

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006