SRINI VASAN MUKUNDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143439

License Status

NOT RENEWED

Business

Title

First Name

SRINI

Middle

VASAN

Last Name

MUKUNDAN

Business Name

SRINI VASAN MUKUNDAN MD

Original Issue Date

06/09/2017

Effective Date

06/09/2017

Expiration Date

09/30/2020

City

PORTLAND

State

Zip

97214

County

OREGON

Ever Disciplined

LastModifiedDate

01/14/2021