BASAVAPUNNA RAO KAZA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093673

License Status

INACTIVE

Business

First Name

BASAVAPUNNA RAO

Last Name

KAZA

Suffix

Business Name

BASAVAPUNNA RAO KAZA MD

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

07/31/1999

City

LAKE CHARLES

State

Zip

70606

County

LOUISIANA

Ever Disciplined

LastModifiedDate

09/20/2006