PUSHPA BISARYA MD

Licensed Physician Controlled Substance

Illinois  336069405   Active

This Illinois license is held by PUSHPA BISARYA MD. The license is currently active. It was granted on 03/04/2003 and expired on 07/31/2014

LICENSE DETAILS

  • License Number: 336069405
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
  • Status: Active
  • Date Granted: 03/04/2003 (over 23 years ago)
  • Expiry Date: 07/31/2014 (almost 12 years ago)

LOCATIONS

A Address

EFFINGHAM, IL 62401