RAJAN S MULLANGI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

RAJAN S

Last Name

MULLANGI

Suffix

Business Name

RAJAN S MULLANGI MD

Original Issue Date

08/07/1996

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017