SUCHARITHA BOSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

NOT RENEWED

Business

First Name

SUCHARITHA

Last Name

BOSE

Business Name

SUCHARITHA BOSE

Original Issue Date

09/07/2017

Effective Date

05/25/2022

Expiration Date

03/01/2024

City

INDIANAPOLIS

State

Zip

46268

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025