PINNAMANENI PRASAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049086

License Status

ACTIVE

Business

First Name

PINNAMANENI

Last Name

PRASAD

Suffix

Business Name

PINNAMANENI PRASAD MD

Original Issue Date

03/26/1974

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62712

Ever Disciplined

LastModifiedDate

04/11/2023