SHEONATH P SRIVASTAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045056

License Status

NOT RENEWED

Business

First Name

SHEONATH P

Last Name

SRIVASTAVA

Suffix

Business Name

SHEONATH P SRIVASTAVA MD

Original Issue Date

12/16/1971

Effective Date

12/16/1971

City

JOHNSON CITY

State

Zip

13790

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006