SASIDHARAN TARAVATH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077500

License Status

INACTIVE

Business

First Name

SASIDHARAN

Last Name

TARAVATH

Suffix

Business Name

SASIDHARAN TARAVATH MD

Original Issue Date

07/29/1988

Effective Date

07/29/1988

Expiration Date

07/31/1996

City

SOUTH CHARLESTON

State

Zip

25309

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006