BHARGAV MUDDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

BHARGAV

Last Name

MUDDA

Business Name

BHARGAV MUDDA MD

Original Issue Date

05/25/2017

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023