SUPRATIK KUMAR MOULIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144565

License Status

NOT RENEWED

Business

Title

First Name

SUPRATIK

Middle

KUMAR

Last Name

MOULIK

Business Name

SUPRATIK KUMAR MOULIK MD

Original Issue Date

10/26/2017

Effective Date

10/26/2017

Expiration Date

09/30/2020

City

MISSOURI CITY

State

Zip

77459

Ever Disciplined

LastModifiedDate

01/14/2021