KRISHNA S POTHUGUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130854

License Status

NOT RENEWED

Business

Title

First Name

KRISHNA

Middle

Last Name

POTHUGUNTA

Business Name

KRISHNA S POTHUGUNTA MD

Original Issue Date

07/13/2012

Effective Date

07/13/2012

Expiration Date

07/31/2014

City

ROCHESTER HILLS

State

Zip

48309

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014