PUSHPA BISARYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065771

License Status

ACTIVE

Business

First Name

PUSHPA

Last Name

BISARYA

Suffix

Business Name

PUSHPA BISARYA MD

Original Issue Date

12/07/1982

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2023