RAJ BHARATH PENUMETSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169415

License Status

ACTIVE

Business

Title

First Name

RAJ

Middle

BHARATH

Last Name

PENUMETSA

Business Name

RAJ BHARATH PENUMETSA MD

Original Issue Date

03/20/2024

Effective Date

03/20/2024

Expiration Date

07/31/2026

City

CAMAS

State

Zip

98607

County

CLARK

Ever Disciplined

LastModifiedDate

03/20/2024