SATYAM TATINENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070645

License Status

ACTIVE

Business

First Name

SATYAM

Last Name

TATINENI

Suffix

Business Name

SATYAM TATINENI MD

Original Issue Date

06/03/1985

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

06/14/2023