SUPRIYA BHUVANAGIRI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082702

License Status

ACTIVE

Business

Title

First Name

SUPRIYA

Last Name

BHUVANAGIRI

Business Name

SUPRIYA BHUVANAGIRI DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/10/2023