PUSHPA BISARYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

PUSHPA

Last Name

BISARYA

Suffix

Business Name

PUSHPA BISARYA MD

Original Issue Date

03/04/2003

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023