RAVINDRA KEREGODU RAMAKRISHNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

RAVINDRA

Middle

KEREGODU

Last Name

RAMAKRISHNA

Suffix

Business Name

RAVINDRA KEREGODU RAMAKRISHNA MD

Original Issue Date

09/17/2003

Effective Date

09/04/2008

Expiration Date

07/31/2011

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011