SRINIVASAN PURIGHALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111101

License Status

ACTIVE

Business

First Name

SRINIVASAN

Last Name

PURIGHALLA

Suffix

Business Name

SRINIVASAN PURIGHALLA MD

Original Issue Date

03/26/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/07/2023