SUSHANTH NAYAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

SUSHANTH

Last Name

NAYAK

Business Name

SUSHANTH NAYAK MD

Original Issue Date

08/29/2013

Effective Date

08/29/2013

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014