ANIL K SRIVASTAVA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

ANIL K

Last Name

SRIVASTAVA

Business Name

ANIL K SRIVASTAVA

Original Issue Date

06/30/1995

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020