SURIYA VISVABHAR SASTRI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068118

License Status

ACTIVE

Business

First Name

SURIYA VISVABHAR

Last Name

SASTRI

Business Name

SURIYA VISVABHAR SASTRI

Original Issue Date

12/23/1983

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

Ever Disciplined

LastModifiedDate

10/03/2024