PRATHIMA K JAYARAM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113658

License Status

INACTIVE

Business

First Name

PRATHIMA

Middle

Last Name

JAYARAM

Business Name

PRATHIMA K JAYARAM

Original Issue Date

05/12/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ROCHESTER

State

Zip

14623

County

MONROE

Ever Disciplined

LastModifiedDate

10/14/2008