SHANTHI GOPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109948

License Status

NOT RENEWED

Business

First Name

SHANTHI

Last Name

GOPAL

Suffix

Business Name

SHANTHI GOPAL MD

Original Issue Date

08/18/2003

Effective Date

08/18/2003

Expiration Date

07/31/2005

City

FARMINGTON HILLS

State

Zip

48331

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006