SUJANI G SURAKANTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044529

License Status

EXPIRED

Business

First Name

SUJANI G

Last Name

SURAKANTI

Business Name

SUJANI G SURAKANTI

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/17/2005

City

JERSEY CITY

State

Zip

07302

County

NEW JERSEY

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006