BIJU D KUNJUMMEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148059

License Status

NOT RENEWED

Business

Title

First Name

BIJU

Middle

Last Name

KUNJUMMEN

Business Name

BIJU D KUNJUMMEN DO

Original Issue Date

01/08/2019

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

11/30/2023