BASUNDHARA RAJ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

ACTIVE

Business

First Name

BASUNDHARA

Last Name

RAJ

Business Name

BASUNDHARA RAJ

Original Issue Date

09/19/2025

Effective Date

03/09/2026

Expiration Date

03/01/2028

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026