SURIYA VISVABHAR SASTRI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

SURIYA VISVABHAR

Last Name

SASTRI

Business Name

SURIYA VISVABHAR SASTRI

Original Issue Date

08/25/1986

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023