DIVYA KORPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

DIVYA

Last Name

KORPU

Business Name

DIVYA KORPU MD

Original Issue Date

04/17/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

EAU CLAIRE

State

Zip

54701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023