MANASI SUHAS HULYALKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

MANASI

Middle

SUHAS

Last Name

HULYALKAR

Business Name

MANASI SUHAS HULYALKAR MD

Original Issue Date

01/28/2019

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/19/2023