SMRUTI RANJAN MOHANTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105532

License Status

NOT RENEWED

Business

First Name

SMRUTI

Middle

RANJAN

Last Name

MOHANTY

Suffix

Business Name

SMRUTI RANJAN MOHANTY MD

Original Issue Date

09/05/2001

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

BROOKLYN

State

Zip

11238

Ever Disciplined

LastModifiedDate

11/17/2014