DUSHYANT T SOORYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

DUSHYANT

Middle

Last Name

SOORYA

Business Name

DUSHYANT T SOORYA MD

Original Issue Date

09/11/1981

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014