CHANDRA K PUTTAGUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

CHANDRA K

Last Name

PUTTAGUNTA

Suffix

Business Name

CHANDRA K PUTTAGUNTA MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

WARREN

State

Zip

48091

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006