SRIDEVI GAVIRNENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

SRIDEVI

Last Name

GAVIRNENI

Suffix

Business Name

SRIDEVI GAVIRNENI MD

Original Issue Date

01/09/2007

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014