PRAVIN J KANSAGRA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068911

License Status

INACTIVE

Business

First Name

PRAVIN J

Last Name

KANSAGRA

Suffix

Business Name

PRAVIN J KANSAGRA MD

Original Issue Date

06/25/1984

Effective Date

06/25/1984

Expiration Date

07/31/1987

City

NORWICH

State

Zip

06360

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006