License holder summary

Suseela Doravari is a Physician licensed to practice in Indiana. The address on file for Suseela Doravari is Fort Wayne IN 46814. This licensed professional license is current. The license was granted 05/28/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Suseela Doravari
Physician
License number
01041370A
Date granted
05/28/1993
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Fort Wayne IN 46814
indianalicensing.org
ID 6054115
LAST UPDATED 2024-03-17 21:29:15 UTC

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