MICHAEL SUNNY POULOSE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173331

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

SUNNY

Last Name

POULOSE

Business Name

MICHAEL SUNNY POULOSE DO

Original Issue Date

01/10/2025

Effective Date

01/10/2025

Expiration Date

07/31/2026

City

UNIONDALE

State

Zip

11556

Ever Disciplined

LastModifiedDate

01/10/2025