SATYA P TUMMALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090485

License Status

INACTIVE

Business

First Name

SATYA P

Last Name

TUMMALA

Suffix

Business Name

SATYA P TUMMALA MD

Original Issue Date

04/06/1995

Effective Date

04/06/1995

Expiration Date

07/31/2002

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006