CHETAN S PURANIK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112296

License Status

NOT RENEWED

Business

First Name

CHETAN S

Last Name

PURANIK

Business Name

CHETAN S PURANIK

Original Issue Date

09/09/2004

Effective Date

08/14/2014

Expiration Date

07/31/2017

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017