AJAYA KUMAR TUMMALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084709

License Status

INACTIVE

Business

First Name

AJAYA KUMAR

Last Name

TUMMALA

Suffix

Business Name

AJAYA KUMAR TUMMALA MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/1996

City

SHREVEPORT

State

Zip

71106

County

LOUISIANA

Ever Disciplined

LastModifiedDate

09/20/2006