VENTRAPRAGADA S MOHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

VENTRAPRAGADA S

Last Name

MOHAN

Suffix

Business Name

VENTRAPRAGADA S MOHAN MD

Original Issue Date

01/01/1997

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021