SANSERN HASTANAN MD - Medical Doctor License in New York | # 036046927

SANSERN HASTANAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046927

License Status

NOT RENEWED

Business

N

First Name

SANSERN

Last Name

HASTANAN

Suffix

MD

Business Name

SANSERN HASTANAN MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006