RADHA S TATINENI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070307

License Status

INACTIVE

Business

First Name

RADHA S

Last Name

TATINENI

Suffix

Business Name

RADHA S TATINENI MD

Original Issue Date

04/09/1985

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/08/2014