TRUSTIN ROY ENNACHERIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137276

License Status

NOT RENEWED

Business

Title

First Name

TRUSTIN

Middle

ROY

Last Name

ENNACHERIL

Business Name

TRUSTIN ROY ENNACHERIL MD

Original Issue Date

02/09/2015

Effective Date

02/09/2015

Expiration Date

07/31/2017

City

WELLESLEY

State

Zip

02481

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017