Sumathi Parvataneni
Temporary Medical Doctor Permit
Indiana 99015196A Superceded
This Indiana license was held by Sumathi Parvataneni. The license is no longer active. It was granted on 12/17/2004 and expired on 03/17/2005
LICENSE DETAILS
- License Number: 99015196A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 12/17/2004 (over 21 years ago)
- Expiry Date: 03/17/2005 (over 21 years ago)
LOCATIONS
A Address
Fort Wayne IN 46805