PRASAN CHARIYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052746

License Status

NOT RENEWED

Business

First Name

PRASAN

Last Name

CHARIYA

Suffix

Business Name

PRASAN CHARIYA MD

Original Issue Date

05/14/1976

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021