CHANNAGATTA R TRIYAMBAKARAJ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051952

License Status

NOT RENEWED

Business

First Name

CHANNAGATTA R

Last Name

TRIYAMBAKARAJ

Suffix

Business Name

CHANNAGATTA R TRIYAMBAKARAJ MD

Original Issue Date

09/12/1975

Effective Date

09/12/1975

City

CLAWSON

State

Zip

48017

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006