KIRAN POLAVARAPU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126768

License Status

INACTIVE

Business

Title

First Name

KIRAN

Last Name

POLAVARAPU

Business Name

KIRAN POLAVARAPU MD

Original Issue Date

10/15/2010

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

FORT WORTH

State

Zip

76107

County

TEXAS

Ever Disciplined

LastModifiedDate

04/08/2014