AJITH ROBERT SUSAI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167288

License Status

ACTIVE

Business

Title

First Name

AJITH

Middle

ROBERT

Last Name

SUSAI

Business Name

AJITH ROBERT SUSAI DO

Original Issue Date

10/06/2023

Effective Date

10/06/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

53045

Ever Disciplined

LastModifiedDate

10/06/2023