PRASANTA K MITRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044717

License Status

NOT RENEWED

Business

First Name

PRASANTA K

Last Name

MITRA

Suffix

Business Name

PRASANTA K MITRA MD

Original Issue Date

09/01/1971

Effective Date

09/01/1971

Expiration Date

07/01/1972

City

QUINCY

State

Zip

02169

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006