VIJAYA L JUJJAVARAPU 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

VIJAYA L

Last Name

JUJJAVARAPU

Suffix

Business Name

VIJAYA L JUJJAVARAPU MD

Original Issue Date

09/04/1997

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023