ELISSA K ADATYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

ELISSA

Middle

Last Name

ADATYA

Business Name

ELISSA K ADATYA MD

Original Issue Date

12/18/2014

Effective Date

01/17/2018

Expiration Date

09/30/2020

City

CUPERTINO

State

Zip

95014

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021