BHARATHI PULLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103125

License Status

INACTIVE

Business

First Name

BHARATHI

Last Name

PULLA

Suffix

Business Name

BHARATHI PULLA MD

Original Issue Date

07/20/2000

Effective Date

07/20/2000

Expiration Date

07/31/2002

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

10/09/2006