Mr. Boney Melottil Eapen .

Registration Number:
1083682
Last Name:
.
Given Name:
Boney Melottil Eapen
Former Last Name:

Registration Information

Current Registration Category:
Practitioner
Current Registration Status:
Revoked – non-renewal
Designations(s):
Authorized for Independent Practice (has professional liability insurance):
No

Registration History

Initial Registration Information:

Initial Registration Date:
07/07/2020 2:05 PM
Initial Registration Category:
Practitioner
Status:
Active
Subsequent Changes in Category and/or Status are Listed below:

  Date Category Change Status Change

Date of ChangeNew CategoryNew Status
07/15/2021 5:18 PMSuspended
10/01/2021 8:27 AMRevoked – non-renewal