HIMABINDU GANDAM VENKATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149490

License Status

NOT RENEWED

Business

Title

First Name

HIMABINDU

Last Name

GANDAM VENKATA

Business Name

HIMABINDU GANDAM VENKATA MD

Original Issue Date

05/30/2019

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

WEST BLOOMFIELD

State

Zip

48322

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/30/2023