AIMEE LUNA MANDAPAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123110

License Status

NOT RENEWED

Business

Title

First Name

AIMEE

Middle

LUNA

Last Name

MANDAPAT

Business Name

AIMEE LUNA MANDAPAT MD

Original Issue Date

04/08/2009

Effective Date

04/08/2009

Expiration Date

07/31/2011

City

BEACHWOOD

State

Zip

44122

County

OHIO

Ever Disciplined

LastModifiedDate

11/14/2011