SREENIVAS KUMAR AVULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

SREENIVAS

Middle

KUMAR

Last Name

AVULA

Business Name

SREENIVAS KUMAR AVULA MD

Original Issue Date

03/09/2015

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023