AMEET SURESH BRAHMAVAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

AMEET

Middle

SURESH

Last Name

BRAHMAVAR

Business Name

AMEET SURESH BRAHMAVAR MD

Original Issue Date

05/30/2019

Effective Date

09/27/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2023