PUSHPA PAVULURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

PUSHPA

Last Name

PAVULURI

Business Name

PUSHPA PAVULURI MD

Original Issue Date

08/16/2023

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2023