KUSUM RAJGOPAL KANSAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054899

License Status

NOT RENEWED

Business

First Name

KUSUM RAJGOPAL

Last Name

KANSAL

Suffix

Business Name

KUSUM RAJGOPAL KANSAL MD

Original Issue Date

07/14/1977

Effective Date

07/14/1977

City

FLORENCE VILLAGE

State

Zip

41042

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006