SRINIVASAN PURIGHALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

SRINIVASAN

Last Name

PURIGHALLA

Suffix

Business Name

SRINIVASAN PURIGHALLA MD

Original Issue Date

03/26/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/07/2023