SRIMANASI JAVVAJI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

SRIMANASI

Last Name

JAVVAJI

Business Name

SRIMANASI JAVVAJI MD

Original Issue Date

02/25/2024

Effective Date

02/25/2024

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2024