NISHA GAJENDRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131041

License Status

NOT RENEWED

Business

Title

First Name

NISHA

Last Name

GAJENDRA

Business Name

NISHA GAJENDRA MD

Original Issue Date

08/02/2012

Effective Date

08/02/2012

Expiration Date

07/31/2014

City

ASHBURN

State

Zip

20148

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/17/2014