PURNA R SURAPANENI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075428

License Status

INACTIVE

Business

First Name

PURNA R

Last Name

SURAPANENI

Suffix

Business Name

PURNA R SURAPANENI MD

Original Issue Date

07/06/1987

Effective Date

07/06/1987

Expiration Date

07/31/1990

City

FLINT

State

Zip

48532

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006