KEVIN KRISHNA BIRUSINGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

KRISHNA

Last Name

BIRUSINGH

Business Name

KEVIN KRISHNA BIRUSINGH MD

Original Issue Date

06/28/2019

Effective Date

06/28/2019

Expiration Date

09/30/2020

City

WEST DE MOINES

State

Zip

50265

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021