AMRENDRA SINGH MIRANPURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

AMRENDRA

Middle

SINGH

Last Name

MIRANPURI

Business Name

AMRENDRA SINGH MIRANPURI MD

Original Issue Date

10/17/2017

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023