PRIYA PONNAPULA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005454

License Status

NOT RENEWED

Business

First Name

PRIYA

Last Name

PONNAPULA

Business Name

PRIYA PONNAPULA

Original Issue Date

07/08/2010

Effective Date

12/09/2010

Expiration Date

01/31/2013

City

SAINT LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/20/2013