S R MUNNANGI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

S R

Last Name

MUNNANGI

Suffix

Business Name

S R MUNNANGI MD

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006