RAZ D PENMATCHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104091

License Status

NOT RENEWED

Business

First Name

RAZ

Middle

Last Name

PENMATCHA

Suffix

Business Name

RAZ D PENMATCHA MD

Original Issue Date

01/30/2001

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/01/2017