CHANDRAHASA ANNEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135193

License Status

NOT RENEWED

Business

Title

First Name

CHANDRAHASA

Last Name

ANNEM

Business Name

CHANDRAHASA ANNEM MD

Original Issue Date

04/30/2014

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

DETROIT

State

Zip

48201

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017