SHERLYANA SURJA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060551

License Status

CANCELLED

Business

Title

First Name

SHERLYANA

Last Name

SURJA

Business Name

SHERLYANA SURJA MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

TROY

State

Zip

48098

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014