SUDHA SRINIVASAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126561

License Status

ACTIVE

Business

First Name

SUDHA

Last Name

SRINIVASAN

Suffix

Business Name

SUDHA SRINIVASAN MD

Original Issue Date

08/25/2010

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

06/22/2023