AJAY K PONUGOTI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115827

License Status

NOT RENEWED

Business

First Name

AJAY

Middle

Last Name

PONUGOTI

Business Name

AJAY K PONUGOTI

Original Issue Date

05/02/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CARMEL

State

Zip

46032

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011