JONATHAN VIVEK SUKUMAR DO - Medical Doctor License in New York | # 125068933

JONATHAN VIVEK SUKUMAR DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068933

License Status

EXPIRED

Business

N

Title

DO

First Name

JONATHAN

Middle

VIVEK

Last Name

SUKUMAR

Business Name

JONATHAN VIVEK SUKUMAR DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

State

NY

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

N

LastModifiedDate

10/02/2019