VENKATA P S PUTTAGUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058417

License Status

NOT RENEWED

Business

First Name

VENKATA P S

Last Name

PUTTAGUNTA

Suffix

Business Name

VENKATA P S PUTTAGUNTA MD

Original Issue Date

03/16/1979

Effective Date

03/16/1979

City

WARREN

State

Zip

48091

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006