SUMANGALA VASUDEVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125728

License Status

NOT RENEWED

Business

First Name

SUMANGALA

Last Name

VASUDEVAN

Suffix

Business Name

SUMANGALA VASUDEVAN MD

Original Issue Date

05/12/2010

Effective Date

05/12/2010

Expiration Date

07/31/2011

City

NEW YORK

State

Zip

10128

Ever Disciplined

LastModifiedDate

11/14/2011