RAHUL BRIJBALLABH CHANDAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149936

License Status

NOT RENEWED

Business

First Name

RAHUL

Middle

BRIJBALLABH

Last Name

CHANDAK

Business Name

RAHUL BRIJBALLABH CHANDAK

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

09/30/2020

City

SYRACUSE

State

Zip

13202

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021