MANJUSHA DAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

MANJUSHA

Last Name

DAS

Business Name

MANJUSHA DAS MD

Original Issue Date

06/13/2016

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2025