Department of Safety and Professional Services
Board of Medical Practice
Shruti Datta
Medical - Physician And Surgeon
License number
55592
Date granted
09/08/2012
Date expires
12/31/2014
Class
Medical - Physician And Surgeon
Status
Active
Address
4293 Lake Hill Drive, Canandaigua, NY 14424-8146
doctorsminnesota.org
ID 22195949
LAST UPDATED 2024-03-11 17:50:45 UTC
LAST UPDATED 2024-03-11 17:50:45 UTC
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