TARA C GANGADHAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118265

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

GANGADHAR

Suffix

Business Name

TARA C GANGADHAR MD

Original Issue Date

04/27/2007

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

PHILADELPHIA

State

Zip

19147

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/14/2011