SHAMA SANJIVAN RATHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

SHAMA

Middle

SANJIVAN

Last Name

RATHI

Business Name

SHAMA SANJIVAN RATHI MD

Original Issue Date

08/20/2022

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

SAINT PETERSBURG

State

Zip

33701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023