MRIDULA RAVINUTU PRASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058523

License Status

NOT RENEWED

Business

First Name

MRIDULA RAVINUTU

Last Name

PRASAD

Suffix

Business Name

MRIDULA RAVINUTU PRASAD MD

Original Issue Date

03/22/1979

Effective Date

03/22/1979

Expiration Date

07/31/1987

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2014