SUBRAMANIAM KOLANDAIVELU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047579

License Status

NOT RENEWED

Business

First Name

SUBRAMANIAM

Last Name

KOLANDAIVELU

Suffix

Business Name

SUBRAMANIAM KOLANDAIVELU MD

Original Issue Date

07/20/1973

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

DEDHAM

State

Zip

02026

County

DE WITT

Ever Disciplined

LastModifiedDate

11/30/2023