DEEPA ANN CYRIAC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

DEEPA

Middle

ANN

Last Name

CYRIAC

Suffix

Business Name

DEEPA ANN CYRIAC MD

Original Issue Date

08/17/2010

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023