JONATHAN VIVEK SUKUMAR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068933

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

VIVEK

Last Name

SUKUMAR

Business Name

JONATHAN VIVEK SUKUMAR DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

NEW YORK

State

Zip

10128

County

NEW YORK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/02/2019