UDAYA N DASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

UDAYA N

Last Name

DASH

Suffix

Business Name

UDAYA N DASH MD

Original Issue Date

02/22/1982

Effective Date

02/22/1982

Expiration Date

07/31/1987

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006