DUSHYANT T SOORYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052152

License Status

NOT RENEWED

Business

Title

First Name

DUSHYANT

Middle

Last Name

SOORYA

Business Name

DUSHYANT T SOORYA MD

Original Issue Date

11/14/1975

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

11/17/2014