VENKATA R JASTY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086526

License Status

INACTIVE

Business

First Name

VENKATA R

Last Name

JASTY

Suffix

Business Name

VENKATA R JASTY MD

Original Issue Date

06/21/1993

Effective Date

06/21/1993

Expiration Date

07/31/1999

City

GROSSE POINTE WOODS

State

Zip

48236

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006