DEEPA DUTTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116763

License Status

NOT RENEWED

Business

First Name

DEEPA

Last Name

DUTTA

Suffix

Business Name

DEEPA DUTTA MD

Original Issue Date

08/14/2006

Effective Date

08/14/2006

Expiration Date

07/31/2008

City

WEST ORANGE

State

Zip

07052

Ever Disciplined

LastModifiedDate

11/06/2008