SYAMAL KUMAR DATTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045192

License Status

NOT RENEWED

Business

First Name

SYAMAL KUMAR

Last Name

DATTA

Suffix

Business Name

SYAMAL KUMAR DATTA MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

City

BOSTON

State

Zip

02111

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006