SUDHEER POTRU DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135523

License Status

NOT RENEWED

Business

Title

First Name

SUDHEER

Last Name

POTRU

Business Name

SUDHEER POTRU DO

Original Issue Date

06/16/2014

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

ROYAL OAK

State

Zip

48067

Ever Disciplined

LastModifiedDate

01/14/2021