ROMAN ALEKSANDROVICH PULIAEV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127884

License Status

NOT RENEWED

Business

First Name

ROMAN

Middle

ALEKSANDROVICH

Last Name

PULIAEV

Suffix

Business Name

ROMAN ALEKSANDROVICH PULIAEV MD

Original Issue Date

05/18/2011

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014