SRIDEVI GAVIRNENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

SRIDEVI

Last Name

GAVIRNENI

Suffix

Business Name

SRIDEVI GAVIRNENI MD

Original Issue Date

02/06/2007

Effective Date

02/06/2007

Expiration Date

07/31/2008

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011