SIVACHARAN BUDDHAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

SIVACHARAN

Last Name

BUDDHAVARAPU

Business Name

SIVACHARAN BUDDHAVARAPU MD

Original Issue Date

06/29/2023

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023