ANUPAMA UPADHYAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

ANUPAMA

Last Name

UPADHYAY

Suffix

Business Name

ANUPAMA UPADHYAY MD

Original Issue Date

07/16/2020

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023