VENKAT R MINNAGANTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

VENKAT

Middle

Last Name

MINNAGANTI

Suffix

Business Name

VENKAT R MINNAGANTI MD

Original Issue Date

08/13/2001

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023