RAGHURAM BALASUNDARAM DASARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109484

License Status

NOT RENEWED

Business

First Name

RAGHURAM

Middle

BALASUNDARAM

Last Name

DASARI

Suffix

Business Name

RAGHURAM BALASUNDARAM DASARI MD

Original Issue Date

06/19/2003

Effective Date

03/13/2008

Expiration Date

07/31/2008

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/06/2008