SIRTAZ ADATYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

SIRTAZ

Last Name

ADATYA

Business Name

SIRTAZ ADATYA MD

Original Issue Date

10/16/2014

Effective Date

10/16/2014

Expiration Date

07/31/2017

City

MINNEAPOLIS

State

Zip

55410

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017