ANUPAM MADHUSUDAN DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124311

License Status

NOT RENEWED

Business

First Name

ANUPAM

Middle

MADHUSUDAN

Last Name

DESAI

Suffix

Business Name

ANUPAM MADHUSUDAN DESAI MD

Original Issue Date

09/01/2009

Effective Date

09/01/2009

Expiration Date

07/31/2011

City

BROOKLINE

State

Zip

02446

Ever Disciplined

LastModifiedDate

11/14/2011