License Verification

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SHASHIDHAR KUSUMA

License Number: ME107122

Data As Of 4/25/2025

Profession
Medical Doctor
License
ME107122
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
05/12/2010
Address of Record
2235 North Commerce Pkwy Ste 2
SURIA PLASTIC SURGERY DBA
Suria Cosmetic Surgery and Medspa
WESTON, FL 33326
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
595 S Federal Hwy Suite 130 Suria Plastic Surgery and Medspa
BOCA RATON, FL 33432
Address
1680 SE 3rd St
DEERFIELD BEACH, FL 33441
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 4/25/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.