The holder whose full name is Punukollu, Pavan Kumar,come from Mesa AZ,hold the Physician license(NO.01050985A) which status is Expired Non-Renewable.
| Name | Punukollu, Pavan Kumar |
|---|---|
| License Number | 01050985A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Mesa |
| State | AZ |