ANUPAMA RAGHURAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

ANUPAMA

Last Name

RAGHURAM

Suffix

Business Name

ANUPAMA RAGHURAM MD

Original Issue Date

02/25/2009

Effective Date

05/12/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014