SURENDRA PRASAD PARUCHURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

SURENDRA PRASAD

Last Name

PARUCHURI

Suffix

Business Name

SURENDRA PRASAD PARUCHURI MD

Original Issue Date

01/01/1997

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023