ANJAN DEKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135578

License Status

NOT RENEWED

Business

Title

First Name

ANJAN

Last Name

DEKA

Business Name

ANJAN DEKA MD

Original Issue Date

06/18/2014

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

DULUTH

State

Zip

30097

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/14/2021