MAGESH SUNDARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130584

License Status

NOT RENEWED

Business

Title

First Name

MAGESH

Last Name

SUNDARAM

Business Name

MAGESH SUNDARAM MD

Original Issue Date

06/18/2012

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

MILFORD

State

Zip

19963

Ever Disciplined

LastModifiedDate

01/14/2021