ANIRBAN BHATTACHARYYA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060796

License Status

CANCELLED

Business

Title

First Name

ANIRBAN

Last Name

BHATTACHARYYA

Business Name

ANIRBAN BHATTACHARYYA MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

BROADVIEW HEIGHTS

State

Zip

44147

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014