PADMAJA R MOULI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064206

License Status

INACTIVE

Business

Title

First Name

PADMAJA

Middle

Last Name

MOULI

Business Name

PADMAJA R MOULI MD

Original Issue Date

04/29/1982

Effective Date

01/25/2012

Expiration Date

07/31/2014

City

ADRIAN

State

Zip

49221

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/08/2014