License holder summary

SHRUTI MUTALIK is a Physician/Surgeon licensed to practice in Connecticut. The address on file for SHRUTI MUTALIK is 3775 63RD ST APT B39, Queens, WOODSIDE, NY, 11377-2664. This licensed professional license is current. The license was granted 09/24/2012 and expired on 12/31/2014.

Connecticut

Department of Consumer Protection

SHRUTI MUTALIK
Physician/Surgeon
License number
51415
Date granted
09/24/2012
Date expires
12/31/2014
Class
Physician/Surgeon
Status
Active
Address
3775 63RD ST APT B39, Queens, WOODSIDE, NY, 11377-2664
ctlicensing.org
ID 18348153
LAST UPDATED 2024-02-19 16:06:09 UTC

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