RITI MAHADEVIA KANESA-THASAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066299

License Status

EXPIRED

Business

Title

First Name

RITI

Middle

MAHADEVIA

Last Name

KANESA-THASAN

Business Name

RITI MAHADEVIA KANESA-THASAN MD

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2016

City

PHILADELPHIA

State

Zip

19102

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

08/16/2016