GANJUR H GURUPRAKASH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

GANJUR H

Last Name

GURUPRAKASH

Suffix

Business Name

GANJUR H GURUPRAKASH MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

LEAVENWORTH

State

Zip

66048

County

KANSAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006