SHRAVAN KOORAGAYALU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

SHRAVAN

Last Name

KOORAGAYALU

Business Name

SHRAVAN KOORAGAYALU MD

Original Issue Date

03/05/2015

Effective Date

03/05/2015

Expiration Date

07/31/2017

City

PLAINVIEW

State

Zip

11803

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020