SWATHI BEERAVOLU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

SWATHI

Last Name

BEERAVOLU

Business Name

SWATHI BEERAVOLU MD

Original Issue Date

05/18/2011

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

04/11/2017