RADHA S TATINENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

RADHA S

Last Name

TATINENI

Suffix

Business Name

RADHA S TATINENI MD

Original Issue Date

04/15/1986

Effective Date

04/15/1986

Expiration Date

07/31/1987

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011