OMPRAKASH N SUREKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

OMPRAKASH N

Last Name

SUREKA

Suffix

Business Name

OMPRAKASH N SUREKA MD

Original Issue Date

01/01/1997

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021