NARSIMHA R MUDDASANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

NARSIMHA

Middle

Last Name

MUDDASANI

Suffix

Business Name

NARSIMHA R MUDDASANI MD

Original Issue Date

10/20/1994

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023