License holder summary

ANNAPURNA PATTISAPU is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for ANNAPURNA PATTISAPU is SALT LAKE CITY, UT 84103. This licensed professional license is not current. The license was granted 09/14/1988 and expired on 12/31/1988.

Utah

Division of Occupational and Professional Licensing

ANNAPURNA PATTISAPU
Physician - Physician & Surgeon
License number
176338-1205
Date granted
09/14/1988
Date expires
12/31/1988
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84103
utahlicensing.org
ID 29919227
LAST UPDATED 2024-04-02 21:28:47 UTC

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