PUSHPA BISARYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

PUSHPA

Last Name

BISARYA

Suffix

Business Name

PUSHPA BISARYA MD

Original Issue Date

01/12/1983

Effective Date

01/12/1983

Expiration Date

07/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020