MARICHU SIA SY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

MARICHU SIA

Last Name

Suffix

Business Name

MARICHU SIA SY MD

Original Issue Date

04/07/1995

Effective Date

04/07/1995

Expiration Date

07/31/1999

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006