PUSHPA PAVULURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162364

License Status

ACTIVE

Business

Title

First Name

PUSHPA

Last Name

PAVULURI

Business Name

PUSHPA PAVULURI MD

Original Issue Date

09/14/2022

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

LOUISVILLE

State

Zip

40245

County

JEFFERSON

Ever Disciplined

LastModifiedDate

08/16/2023