SHISHIRA BHARADWAJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

SHISHIRA

Last Name

BHARADWAJ

Business Name

SHISHIRA BHARADWAJ MD

Original Issue Date

01/14/2024

Effective Date

01/14/2024

Expiration Date

07/31/2026

City

QUINCY

State

Zip

02169

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2024