P DHARMADEV L NAYAK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

P DHARMADEV L

Last Name

NAYAK

Business Name

P DHARMADEV L NAYAK

Original Issue Date

01/01/1997

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023