RUPA MAHADEVAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062546

License Status

CANCELLED

Business

Title

First Name

RUPA

Last Name

MAHADEVAN

Business Name

RUPA MAHADEVAN MD

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

HOUSTON

State

Zip

77025

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014