SRINIVAS JUJJAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

SRINIVAS

Last Name

JUJJAVARAPU

Suffix

Business Name

SRINIVAS JUJJAVARAPU MD

Original Issue Date

06/24/1997

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023