DEEPA GURUSAMY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148695

License Status

NOT RENEWED

Business

Title

First Name

DEEPA

Last Name

GURUSAMY

Business Name

DEEPA GURUSAMY MD

Original Issue Date

03/21/2019

Effective Date

03/21/2019

Expiration Date

09/30/2020

City

SIGNAL MOUNTAIN

State

Zip

37377

Ever Disciplined

LastModifiedDate

01/14/2021