PAVAN VABILISETTI MURTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

PAVAN

Middle

VABILISETTI

Last Name

MURTY

Business Name

PAVAN VABILISETTI MURTY MD

Original Issue Date

03/31/2017

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023