SHERLYANA SURJA MD - Medical Doctor License in Michigan | # 125060551

SHERLYANA SURJA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060551

License Status

CANCELLED

Business

N

Title

MD

First Name

SHERLYANA

Last Name

SURJA

Business Name

SHERLYANA SURJA MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

State

MI

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

03/24/2014