SHARATH K E RENIGUNTALA 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

Title

First Name

SHARATH

Middle

K E

Last Name

RENIGUNTALA

Business Name

SHARATH K E RENIGUNTALA MD

Original Issue Date

08/06/2014

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

IRVINE

State

Zip

92618

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023