SUSHANTH NAYAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059798

License Status

CANCELLED

Business

Title

First Name

SUSHANTH

Last Name

NAYAK

Business Name

SUSHANTH NAYAK MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/25/2011