BASAVARAJ VEERAN NA DESAI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096800

License Status

INACTIVE

Business

First Name

BASAVARAJ VEERAN

Middle

Last Name

DESAI

Business Name

BASAVARAJ VEERAN NA DESAI

Original Issue Date

10/08/1997

Effective Date

10/08/1997

Expiration Date

07/31/1999

City

HUNTINGTON

State

Zip

11743

Ever Disciplined

LastModifiedDate

07/08/2015