SUDHA PRAVINKUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124024

License Status

NOT RENEWED

Business

First Name

SUDHA

Last Name

PRAVINKUMAR

Suffix

Business Name

SUDHA PRAVINKUMAR MD

Original Issue Date

07/16/2009

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

TALIHINA

State

Zip

74571

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

11/01/2017