VENKATA SASIDHAR MAJJIGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

VENKATA

Middle

SASIDHAR

Last Name

MAJJIGA

Business Name

VENKATA SASIDHAR MAJJIGA MD

Original Issue Date

03/09/2011

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023