SHERLYANA SURJA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

SHERLYANA

Last Name

SURJA

Business Name

SHERLYANA SURJA MD

Original Issue Date

05/21/2014

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

TROY

State

Zip

48098

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/24/2023