PRIYA KUMARAGURU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

PRIYA

Last Name

KUMARAGURU

Business Name

PRIYA KUMARAGURU MD

Original Issue Date

05/09/2011

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2023