PRAGATHY VUTLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112675

License Status

INACTIVE

Business

First Name

PRAGATHY

Last Name

VUTLA

Suffix

Business Name

PRAGATHY VUTLA MD

Original Issue Date

11/18/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LACEY

State

Zip

98516

Ever Disciplined

LastModifiedDate

04/17/2008