SUSHMA RAJDEEP PRADHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125051

License Status

NOT RENEWED

Business

Title

First Name

SUSHMA

Middle

RAJDEEP

Last Name

PRADHAN

Business Name

SUSHMA RAJDEEP PRADHAN MD

Original Issue Date

02/25/2010

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017