SUSHANT NIROULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

SUSHANT

Last Name

NIROULA

Business Name

SUSHANT NIROULA MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

BRONX

State

Zip

10457

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023