NAGAPRASADARAO MUMMANENI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058663

License Status

INACTIVE

Business

First Name

NAGAPRASADARAO

Last Name

MUMMANENI

Suffix

Business Name

NAGAPRASADARAO MUMMANENI MD

Original Issue Date

05/17/1979

Effective Date

05/17/1979

Expiration Date

07/31/1987

City

PONTIAC

State

Zip

48053

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/31/2012