ASHOKA NAUTIYAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

ASHOKA

Last Name

NAUTIYAL

Suffix

Business Name

ASHOKA NAUTIYAL MD

Original Issue Date

05/10/1983

Effective Date

05/10/1983

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006