SIVA P PARCHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

SIVA

Middle

Last Name

PARCHA

Business Name

SIVA P PARCHA MD

Original Issue Date

03/05/2014

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021