P DHARMADEV L NAYAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

P DHARMADEV L

Last Name

NAYAK

Business Name

P DHARMADEV L NAYAK

Original Issue Date

01/01/1997

Expiration Date

09/01/1981

City

WINDSOR

State

Zip

61957

County

SHELBY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020