BALASUNDARAM DASARI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077848

License Status

INACTIVE

Business

First Name

BALASUNDARAM

Last Name

DASARI

Suffix

Business Name

BALASUNDARAM DASARI MD

Original Issue Date

09/10/1988

Effective Date

09/10/1988

Expiration Date

07/31/1990

City

GETZVILLE

State

Zip

14068

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006