PURUSHOTHAMA V DASARAJU Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083094

License Status

INACTIVE

Business

First Name

PURUSHOTHAMA V

Last Name

DASARAJU

Business Name

PURUSHOTHAMA V DASARAJU

Original Issue Date

07/24/1991

Effective Date

07/24/1991

Expiration Date

07/31/1996

City

LENEXA

State

Zip

66215

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006