MALA MURTHY BALAKUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099174

License Status

NOT RENEWED

Business

First Name

MALA

Middle

MURTHY

Last Name

BALAKUMAR

Suffix

Business Name

MALA MURTHY BALAKUMAR MD

Original Issue Date

10/08/1998

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

ROSLYN HEIGHTS

State

Zip

11577

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017