SUSHMA RAJDEEP PRADHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

SUSHMA

Middle

RAJDEEP

Last Name

PRADHAN

Business Name

SUSHMA RAJDEEP PRADHAN MD

Original Issue Date

03/04/2010

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017