VIREN ANDREW D'SA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109577

License Status

NOT RENEWED

Business

First Name

VIREN

Middle

ANDREW

Last Name

D'SA

Suffix

Business Name

VIREN ANDREW D'SA MD

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

07/31/2005

City

ATTLEBORO

State

Zip

02703

Ever Disciplined

LastModifiedDate

02/26/2007