MALLIKA PRADHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

MALLIKA

Last Name

PRADHAN

Business Name

MALLIKA PRADHAN MD

Original Issue Date

02/19/2020

Effective Date

02/19/2020

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10029

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021