VISHWANATH V PUTTASWAMYGOWDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110382

License Status

NOT RENEWED

Business

First Name

VISHWANATH

Middle

Last Name

PUTTASWAMYGOWDA

Suffix

Business Name

VISHWANATH V PUTTASWAMYGOWDA MD

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

07/31/2005

City

FLUSHING

State

Zip

11354

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/06/2010