CHANDRA K PUTTAGUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053672

License Status

NOT RENEWED

Business

First Name

CHANDRA K

Last Name

PUTTAGUNTA

Suffix

Business Name

CHANDRA K PUTTAGUNTA MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

City

WARREN

State

Zip

48091

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006