License holder summary

GAYATHRI SUBA SURESH BABU VONTIVILLU is a Medical Doctor (Md) - Medical Doctor Educational Limited licensed to practice in Michigan. The address on file for GAYATHRI SUBA SURESH BABU VONTIVILLU is Troy, MI 480844348. This licensed professional license is not current. The license was granted 07/01/1998 and expired on 06/30/2001.

Michigan

Department of Licensing and Regulation

GAYATHRI SUBA SURESH BABU VONTIVILLU
Medical Doctor (Md) - Medical Doctor Educational Limited
License number
4301071781
Date granted
07/01/1998
Date expires
06/30/2001
Class
Medical Doctor (Md) - Medical Doctor Educational Limited
Status
Voided
Address
Troy, MI 480844348
michiganlicensing.org
ID 25796077
LAST UPDATED 2024-03-09 05:08:04 UTC

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