SRUTHI HARIPRASAD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

NOT RENEWED

Business

First Name

SRUTHI

Last Name

HARIPRASAD

Business Name

SRUTHI HARIPRASAD

Original Issue Date

06/10/2021

Effective Date

02/15/2022

Expiration Date

03/01/2024

City

CROWN POINT

State

Zip

46307

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025