ANIRUDDH PRAKASH BEHERE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

ANIRUDDH

Middle

PRAKASH

Last Name

BEHERE

Business Name

ANIRUDDH PRAKASH BEHERE MD

Original Issue Date

05/09/2011

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014