PRIYANKA GAURAVI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

PRIYANKA

Last Name

GAURAVI

Business Name

PRIYANKA GAURAVI MD

Original Issue Date

09/15/2014

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MORRISON

State

Zip

61270

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023