SHRUTI GAJANAN DHAPODKAR MD - Medical Doctor License in California | # 125062494

SHRUTI GAJANAN DHAPODKAR MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062494

License Status

CANCELLED

Business

N

Title

MD

First Name

SHRUTI

Middle

GAJANAN

Last Name

DHAPODKAR

Business Name

SHRUTI GAJANAN DHAPODKAR MD

Original Issue Date

09/17/2012

Effective Date

09/17/2012

Expiration Date

09/16/2013

State

CA

Specialty/Qualifier

Burn Fellowship

Ever Disciplined

N

LastModifiedDate

09/17/2012