RAJENDRA R SHROFF 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

First Name

RAJENDRA R

Last Name

SHROFF

Suffix

Business Name

RAJENDRA R SHROFF MD

Original Issue Date

07/20/1983

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023