UMA SRIVASTAVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061178

License Status

ACTIVE

Business

First Name

UMA

Last Name

SRIVASTAVA

Suffix

Business Name

UMA SRIVASTAVA MD

Original Issue Date

10/31/1980

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/16/2023