License holder summary

VENKATA S MUSUNURU M D P C is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for VENKATA S MUSUNURU M D P C is 605 PORTAGE AVENUE, SOUTH BEND IN 46616. This licensed professional license is not current. The license was granted 06/27/1984 and expired on 01/31/1998.

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

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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