DINI W HARTONO RADA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064495

License Status

INACTIVE

Business

First Name

DINI W HARTONO

Last Name

RADA

Suffix

Business Name

DINI W HARTONO RADA MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/31/1987

City

BLACKSBURG

State

Zip

24060

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006