NITHIN THUMMALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135825

License Status

NOT RENEWED

Business

Title

First Name

NITHIN

Last Name

THUMMALA

Business Name

NITHIN THUMMALA MD

Original Issue Date

07/07/2014

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

WEST BLOOMFIELD

State

Zip

48322

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017