SREENIVASULU BOGACHENCHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

SREENIVASULU

Last Name

BOGACHENCHU

Business Name

SREENIVASULU BOGACHENCHU MD

Original Issue Date

04/30/2010

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023