BASANTI MUKERJI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060643

License Status

ACTIVE

Business

First Name

BASANTI

Last Name

MUKERJI

Suffix

Business Name

BASANTI MUKERJI MD

Original Issue Date

07/14/1980

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

CENTERVILLE

State

Zip

45458

County

OHIO

Ever Disciplined

LastModifiedDate

06/01/2023