SITTANUR SHOUSH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

SITTANUR

Last Name

SHOUSH

Suffix

Business Name

SITTANUR SHOUSH MD

Original Issue Date

04/08/2010

Effective Date

06/24/2024

Expiration Date

07/31/2026

City

ANN ARBOR

State

Zip

48105

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024