CHARLES HADDON ELIJAH SADAPHAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169379

License Status

ACTIVE

Business

Title

First Name

CHARLES HADDON

Middle

ELIJAH

Last Name

SADAPHAL

Business Name

CHARLES HADDON ELIJAH SADAPHAL MD

Original Issue Date

03/18/2024

Effective Date

03/18/2024

Expiration Date

07/31/2026

City

FRESH MEADOWS

State

Zip

11365

Ever Disciplined

LastModifiedDate

03/18/2024