RAGHU KONANUR VENKATARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133281

License Status

NOT RENEWED

Business

Title

First Name

RAGHU

Last Name

KONANUR VENKATARAM

Business Name

RAGHU KONANUR VENKATARAM MD

Original Issue Date

06/13/2013

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/01/2017