SRINIVAS R SURABHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

SRINIVAS R

Last Name

SURABHI

Suffix

Business Name

SRINIVAS R SURABHI MD

Original Issue Date

09/02/1997

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023