MARAGOWDANAHALLY KRISHNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

MARAGOWDANAHALLY

Last Name

KRISHNA

Suffix

Business Name

MARAGOWDANAHALLY KRISHNA MD

Original Issue Date

07/17/1997

Effective Date

07/17/1997

Expiration Date

07/31/2008

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020