SANSERN HASTANAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046927

License Status

NOT RENEWED

Business

First Name

SANSERN

Last Name

HASTANAN

Suffix

Business Name

SANSERN HASTANAN MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

BRONX

State

Zip

10461

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006