RAQUEL BALAJADIA EMPEDRAD MD - Medical Doctor License in New Jersey | # 036105364

RAQUEL BALAJADIA EMPEDRAD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105364

License Status

NOT RENEWED

Business

N

First Name

RAQUEL

Middle

BALAJADIA

Last Name

EMPEDRAD

Suffix

MD

Business Name

RAQUEL BALAJADIA EMPEDRAD MD

Original Issue Date

08/06/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

NJ

Ever Disciplined

N

LastModifiedDate

11/06/2008