SUSHMA JONNA 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

SUSHMA

Last Name

JONNA

Business Name

SUSHMA JONNA MD

Original Issue Date

06/16/2020

Effective Date

11/03/2023

Expiration Date

07/31/2026

City

POWELL

State

Zip

43065

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/03/2023