POONAM MISHRA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118666

License Status

INACTIVE

Business

First Name

POONAM

Last Name

MISHRA

Suffix

Business Name

POONAM MISHRA MD

Original Issue Date

06/12/2007

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

GREAT FALLS

State

Zip

22066

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/08/2014