USHA PERIYANAYAGAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130281

License Status

INACTIVE

Business

Title

First Name

USHA

Last Name

PERIYANAYAGAM

Business Name

USHA PERIYANAYAGAM MD

Original Issue Date

05/08/2012

Effective Date

05/08/2012

Expiration Date

07/31/2014

City

BOSTON

State

Zip

02115

Ever Disciplined

LastModifiedDate

04/08/2014