SHRUTI CHAKRAVARTHY 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

SHRUTI

Last Name

CHAKRAVARTHY

Business Name

SHRUTI CHAKRAVARTHY MD

Original Issue Date

05/05/2021

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023