SHRUTI GAJANAN DHAPODKAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062494

License Status

CANCELLED

Business

Title

First Name

SHRUTI

Middle

GAJANAN

Last Name

DHAPODKAR

Business Name

SHRUTI GAJANAN DHAPODKAR MD

Original Issue Date

09/17/2012

Effective Date

09/17/2012

Expiration Date

09/16/2013

City

REDWOOD CITY

State

Zip

94063

Specialty/Qualifier

Burn Fellowship

Ever Disciplined

LastModifiedDate

09/17/2012