JAGANNATHAN SRINIVASARAGHAVAN 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

JAGANNATHAN

Last Name

SRINIVASARAGHAVAN

Suffix

Business Name

JAGANNATHAN SRINIVASARAGHAVAN MD

Original Issue Date

08/21/1998

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62902

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023