SUDIPTA MISRA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

CANCELLED

Business

First Name

SUDIPTA

Last Name

MISRA

Suffix

Business Name

SUDIPTA MISRA MD

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/17/2008