NAGA SRINIVAS SIRIKONDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

NAGA

Middle

SRINIVAS

Last Name

SIRIKONDA

Business Name

NAGA SRINIVAS SIRIKONDA MD

Original Issue Date

03/04/2015

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023