KUMARPAL C SHRISHRIMAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

KUMARPAL

Middle

Last Name

SHRISHRIMAL

Business Name

KUMARPAL C SHRISHRIMAL MD

Original Issue Date

09/14/2006

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023