SUDEEP A NAIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

SUDEEP A

Last Name

NAIR

Suffix

Business Name

SUDEEP A NAIR MD

Original Issue Date

06/04/1996

Effective Date

06/04/1996

Expiration Date

07/31/1999

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020