KETHANDAPATTI C BALAJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100623

License Status

NOT RENEWED

Business

First Name

KETHANDAPATTI

Middle

Last Name

BALAJI

Suffix

Business Name

KETHANDAPATTI C BALAJI MD

Original Issue Date

07/12/1999

Effective Date

07/12/1999

Expiration Date

07/31/2002

City

NEW YORK

State

Zip

10021

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/25/2010