RACHANA SUREKA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

RACHANA

Last Name

SUREKA

Business Name

RACHANA SUREKA

Original Issue Date

03/05/2004

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020