JAYDIP DATTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094126

License Status

INACTIVE

Business

First Name

JAYDIP

Last Name

DATTA

Suffix

Business Name

JAYDIP DATTA MD

Original Issue Date

08/29/1996

Effective Date

08/29/1996

Expiration Date

07/31/2002

City

NASHVILLE

State

Zip

37204

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/06/2016