PHADEJ KEOPUNNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046957

License Status

NOT RENEWED

Business

First Name

PHADEJ

Last Name

KEOPUNNA

Suffix

Business Name

PHADEJ KEOPUNNA MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

SAGINAW

State

Zip

48602

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006