VENKAT R MINNAGANTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105301

License Status

ACTIVE

Business

First Name

VENKAT

Middle

Last Name

MINNAGANTI

Suffix

Business Name

VENKAT R MINNAGANTI MD

Original Issue Date

07/26/2001

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/19/2023