IRINA ALEKSEEVNA PULIAEVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140485

License Status

NOT RENEWED

Business

First Name

IRINA

Middle

ALEKSEEVNA

Last Name

PULIAEVA

Suffix

Business Name

IRINA ALEKSEEVNA PULIAEVA MD

Original Issue Date

04/25/2016

Effective Date

04/25/2016

Expiration Date

07/31/2017

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017