POOJA MANJULA SWAMY DORWARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

POOJA

Middle

MANJULA SWAMY

Last Name

DORWARD

Business Name

POOJA MANJULA SWAMY DORWARD MD

Original Issue Date

05/05/2009

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014