SANDHYA TIWADE KURIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

SANDHYA

Middle

TIWADE

Last Name

KURIAN

Business Name

SANDHYA TIWADE KURIAN MD

Original Issue Date

08/03/2012

Effective Date

05/04/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021