JEEVAN R MATHURA JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107224

License Status

INACTIVE

Business

First Name

JEEVAN

Middle

Last Name

MATHURA

Suffix

JR MD

Business Name

JEEVAN R MATHURA JR MD

Original Issue Date

06/14/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WASHINGTON

State

Zip

20037

Ever Disciplined

LastModifiedDate

03/28/2012