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Physician Last Name: | Seshadri | |||
Physician First Name: | Rajagopal | |||
Physician Middle Name: | ||||
Address: | 92 Widgeon Court Great River, New York 11739 | |||
License Number: | 115745 | |||
License Type: | MD | |||
Year of Birth: | ||||
Effective Date: | 03/04/1997 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician admitted to having been convicted in Supreme Court of the State of New York, County of Nassau of Grand Larceny. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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