ANURAG MISHRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

ANURAG

Last Name

MISHRA

Suffix

Business Name

ANURAG MISHRA MD

Original Issue Date

09/09/1999

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020