SAMYUKTHA RAMAVARAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

SAMYUKTHA

Last Name

RAMAVARAM

Business Name

SAMYUKTHA RAMAVARAM MD

Original Issue Date

08/30/2017

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2023