SUJANI G SURAKANTI - Medical Doctor License in New Jersey | # 125044529

SUJANI G SURAKANTI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044529

License Status

EXPIRED

Business

N

First Name

SUJANI G

Last Name

SURAKANTI

Business Name

SUJANI G SURAKANTI

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/17/2005

State

NJ

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006