SIVACHARAN BUDDHAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163965

License Status

ACTIVE

Business

Title

First Name

SIVACHARAN

Last Name

BUDDHAVARAPU

Business Name

SIVACHARAN BUDDHAVARAPU MD

Original Issue Date

03/15/2023

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

Ever Disciplined

LastModifiedDate

06/22/2023