HARISH SITARAM RUDRA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116404

License Status

NOT RENEWED

Business

Title

First Name

HARISH

Middle

SITARAM

Last Name

RUDRA

Business Name

HARISH SITARAM RUDRA DO

Original Issue Date

07/07/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CLIFTON

State

Zip

20124

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/14/2011