DANIEL ARUN CHIDPUNGTAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109494

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

ARUN

Last Name

CHIDPUNGTAM

Suffix

Business Name

DANIEL ARUN CHIDPUNGTAM MD

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

07/31/2005

City

BOSTON

State

Zip

02115

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

03/03/2009