HUSSAM SURADI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

HUSSAM

Last Name

SURADI

Business Name

HUSSAM SURADI MD

Original Issue Date

04/23/2013

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023