VIKRAM MANJUNATH GOPAL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142108

License Status

INACTIVE

Business

Title

First Name

VIKRAM

Middle

MANJUNATH

Last Name

GOPAL

Business Name

VIKRAM MANJUNATH GOPAL DO

Original Issue Date

12/15/2016

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

MT JULIET

State

Zip

37122

County

TENNESSEE

Ever Disciplined

LastModifiedDate

04/05/2020