PRUTHA R. RAJYAGURU Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

ACTIVE

Business

First Name

PRUTHA

Middle

Last Name

RAJYAGURU

Business Name

PRUTHA R. RAJYAGURU

Original Issue Date

08/24/2021

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2026