SURJIT S THIARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

SURJIT S

Last Name

THIARA

Suffix

Business Name

SURJIT S THIARA MD

Original Issue Date

01/09/1987

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023