SAJU S EAPEN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096394

License Status

INACTIVE

Business

First Name

SAJU S

Last Name

EAPEN

Business Name

SAJU S EAPEN

Original Issue Date

08/12/1997

Effective Date

08/12/1997

Expiration Date

07/31/2002

City

ROANOKE

State

Zip

24018

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006