JOSHUA BENJAMIN SUROWITZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

INACTIVE

Business

Title

First Name

JOSHUA

Middle

BENJAMIN

Last Name

SUROWITZ

Business Name

JOSHUA BENJAMIN SUROWITZ MD

Original Issue Date

07/24/2017

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020