PUTHENPURAKAL G JOHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045235

License Status

NOT RENEWED

Business

First Name

PUTHENPURAKAL G

Last Name

JOHN

Suffix

Business Name

PUTHENPURAKAL G JOHN MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

City

LOUISVILLE

State

Zip

40210

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006