PRATAP AGUSALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114149

License Status

NOT RENEWED

Business

First Name

PRATAP

Last Name

AGUSALA

Suffix

Business Name

PRATAP AGUSALA MD

Original Issue Date

07/11/2005

Effective Date

07/03/2008

Expiration Date

07/31/2011

City

MONTGOMERY

State

Zip

77316

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/14/2011