DUSADI UDOMSIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047125

License Status

NOT RENEWED

Business

First Name

DUSADI

Last Name

UDOMSIN

Suffix

Business Name

DUSADI UDOMSIN MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

DETROIT

State

Zip

48201

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006