PALANIAPPAN SUPPIAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062337

License Status

INACTIVE

Business

First Name

PALANIAPPAN

Last Name

SUPPIAH

Suffix

Business Name

PALANIAPPAN SUPPIAH MD

Original Issue Date

06/16/1981

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

MANCHESTER

State

Zip

63088

Ever Disciplined

LastModifiedDate

04/05/2020