ANUBHAV PUTTANNIAH JAGADISH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

ANUBHAV

Middle

PUTTANNIAH

Last Name

JAGADISH

Business Name

ANUBHAV PUTTANNIAH JAGADISH MD

Original Issue Date

10/20/2014

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GOODYEAR

State

Zip

85395

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023