SHARMILA PARVATHANENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

SHARMILA

Last Name

PARVATHANENI

Suffix

Business Name

SHARMILA PARVATHANENI MD

Original Issue Date

11/28/2011

Effective Date

11/28/2011

Expiration Date

07/31/2014

City

KINGMAN

State

Zip

86410

County

ARIZONA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017