SIRISHA SANAMANDRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

SIRISHA

Last Name

SANAMANDRA

Business Name

SIRISHA SANAMANDRA MD

Original Issue Date

05/14/2014

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

NEW HAVEN

State

Zip

06511

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021