SHRUTI NIKETAN TEWAR M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

M.D.

First Name

SHRUTI

Middle

NIKETAN

Last Name

TEWAR

Business Name

SHRUTI NIKETAN TEWAR M.D.

Original Issue Date

11/12/2025

Effective Date

11/12/2025

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/12/2025