SHANTHA URSELL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045365

License Status

INACTIVE

Business

First Name

SHANTHA

Last Name

URSELL

Business Name

SHANTHA URSELL

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1987

City

NEW YORK

State

Zip

10023

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006