VIDYA PANGULURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

VIDYA

Last Name

PANGULURI

Business Name

VIDYA PANGULURI MD

Original Issue Date

12/23/2013

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

SAN DIEGO

State

Zip

92129

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017