OM PRAKASH AHUJA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

OM PRAKASH

Last Name

AHUJA

Business Name

OM PRAKASH AHUJA MD

Original Issue Date

09/22/2023

Effective Date

09/22/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

53045

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2023