HASITHA DIANA MANOHAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

HASITHA

Middle

DIANA

Last Name

MANOHAR

Business Name

HASITHA DIANA MANOHAR MD

Original Issue Date

06/10/2021

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

NEW BRUNSWICK

State

Zip

08901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023