PADMAJA R MOULI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

PADMAJA

Middle

Last Name

MOULI

Business Name

PADMAJA R MOULI MD

Original Issue Date

12/20/1982

Effective Date

02/03/2012

Expiration Date

07/31/2014

City

ADRIAN

State

Zip

49221

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014