RACHANA SURA FOFARIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118416

License Status

NOT RENEWED

Business

First Name

RACHANA

Middle

SURA

Last Name

FOFARIA

Suffix

Business Name

RACHANA SURA FOFARIA MD

Original Issue Date

05/16/2007

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

RALEIGH

State

Zip

27617

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/17/2014