BERNADETTE CAROLINE ANTONYRAJAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158578

License Status

NOT RENEWED

Business

Title

First Name

BERNADETTE

Middle

CAROLINE

Last Name

ANTONYRAJAH

Business Name

BERNADETTE CAROLINE ANTONYRAJAH MD

Original Issue Date

10/23/2021

Effective Date

10/23/2021

Expiration Date

07/31/2023

City

DES MOINES

State

Zip

50314

Ever Disciplined

LastModifiedDate

11/30/2023