Amruth Ratnakar Palla
ActiveMichigan license EMC0002724
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0002724
- Status
- Active
- First issued
- November 22, 2022
- Expires
- November 22, 2028
- License holder
- Amruth Ratnakar Palla
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
410 Arbor Vitae Lane
De Pere, MI 54115
De Pere, MI 54115