RAJENDRA SHRIVASTAV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

RAJENDRA

Last Name

SHRIVASTAV

Suffix

Business Name

RAJENDRA SHRIVASTAV MD

Original Issue Date

01/01/1997

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023