PUSHPA B GIRI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

PUSHPA

Middle

Last Name

GIRI

Suffix

Business Name

PUSHPA B GIRI MD

Original Issue Date

10/24/2000

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023