RAVINDRA KUMAR VEGUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

RAVINDRA

Middle

KUMAR

Last Name

VEGUNTA

Suffix

Business Name

RAVINDRA KUMAR VEGUNTA MD

Original Issue Date

08/22/2000

Effective Date

08/04/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/10/2011