SUSHILKUMAR M TIBREWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

SUSHILKUMAR M

Last Name

TIBREWALA

Suffix

Business Name

SUSHILKUMAR M TIBREWALA MD

Original Issue Date

11/24/1986

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023