PRADEEP H LAKSHMINARAYANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

PRADEEP

Middle

Last Name

LAKSHMINARAYANA

Business Name

PRADEEP H LAKSHMINARAYANA MD

Original Issue Date

04/27/2015

Effective Date

04/27/2015

Expiration Date

07/31/2017

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017