DINI W HARTONO RADA MD - Medical Doctor License in Virginia | # 036064495

DINI W HARTONO RADA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064495

License Status

INACTIVE

Business

N

First Name

DINI W HARTONO

Last Name

RADA

Suffix

MD

Business Name

DINI W HARTONO RADA MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/31/1987

State

VA

Ever Disciplined

N

LastModifiedDate

09/20/2006