SUDHEER POTRU DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****22

NOT RENEWED

N

DO

SUDHEER

POTRU

SUDHEER POTRU DO

06/16/2014

06/01/2017

09/30/2020

ROYAL OAK

MI

48067

COOK

PRACTITIONER

II III IV V

N

01/14/2021