SHIVANCK UPADHYAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

SHIVANCK

Last Name

UPADHYAY

Business Name

SHIVANCK UPADHYAY MD

Original Issue Date

01/09/2026

Effective Date

01/09/2026

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2025