ANU RADHA DIWAKARAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104981

License Status

NOT RENEWED

Business

First Name

ANU

Middle

RADHA

Last Name

DIWAKARAN

Suffix

Business Name

ANU RADHA DIWAKARAN MD

Original Issue Date

06/14/2001

Effective Date

06/14/2001

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006