MONA VIKRAM DALAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

MONA

Middle

VIKRAM

Last Name

DALAL

Business Name

MONA VIKRAM DALAL MD

Original Issue Date

09/11/2014

Effective Date

09/11/2014

Expiration Date

07/31/2017

City

JERSEY CITY

State

Zip

07302

County

NEW JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020