SU GULSUN BERRAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

Middle

GULSUN

Last Name

BERRAK

Business Name

SU GULSUN BERRAK MD

Original Issue Date

06/30/2017

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

RIVER VALE

State

Zip

07675

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023