PRADNYA BALKRISHA RAJE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171482

License Status

ACTIVE

Business

Title

First Name

PRADNYA

Middle

BALKRISHA

Last Name

RAJE

Business Name

PRADNYA BALKRISHA RAJE MD

Original Issue Date

08/07/2024

Effective Date

08/07/2024

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

52556

Ever Disciplined

LastModifiedDate

08/07/2024