License holder summary

GAYATHRI SUBA SURESH BABU VONTIVILLU is a Medicine - Medical Doctor licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/05/2001 and expired on 01/31/2011.

Department of Licensing and Regulatory Affairs

Board of Medicine

GAYATHRI SUBA SURESH BABU VONTIVILLU
Medicine - Medical Doctor
License number
4301071781
Date granted
06/05/2001
Date expires
01/31/2011
Class
Medicine - Medical Doctor
Status
Lapsed
Address
michiganmedical.net
ID 38952290
LAST UPDATED 2024-03-19 07:55:05 UTC

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