Indiana
Professional Licensing Agency
VENKATA S MUSUNURU M D P C
Medical Licensing Board - Medical Corporation
License number
50002567A
Date granted
06/27/1984
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
605 PORTAGE AVENUE, SOUTH BEND IN 46616
indianalicensing.org
ID 24834254
LAST UPDATED 2024-03-23 15:10:34 UTC
LAST UPDATED 2024-03-23 15:10:34 UTC
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