License holder summary

VASUDEVA BOOSUPALLI is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for VASUDEVA BOOSUPALLI is Warren MI 48092. This medical practitioner license is not current. The license was granted 06/19/2002 and expired on 06/30/2005.

Department of State

Board of Medicine

VASUDEVA BOOSUPALLI
Graduate Medical Trainee
License number
MT180112
Date granted
06/19/2002
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
Warren MI 48092
medicinepa.com
ID 37520246
LAST UPDATED 2024-04-22 21:32:54 UTC

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