UMA SRIVASTAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

UMA

Last Name

SRIVASTAVA

Suffix

Business Name

UMA SRIVASTAVA MD

Original Issue Date

08/06/1981

Effective Date

09/04/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023