PREMRAJ MAKKUNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125549

License Status

NOT RENEWED

Business

Title

First Name

PREMRAJ

Last Name

MAKKUNI

Business Name

PREMRAJ MAKKUNI MD

Original Issue Date

04/22/2010

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

MADISON

State

Zip

53715

Ever Disciplined

LastModifiedDate

11/30/2023