MONA NATAPRAWIRA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130193

License Status

NOT RENEWED

Business

Title

First Name

MONA

Last Name

NATAPRAWIRA

Business Name

MONA NATAPRAWIRA DO

Original Issue Date

04/23/2012

Effective Date

04/23/2012

Expiration Date

07/31/2014

City

PORT CLINTON

State

Zip

43452

Ever Disciplined

LastModifiedDate

11/17/2014