PANDURANGA R KINI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

PANDURANGA

Middle

Last Name

KINI

Suffix

Business Name

PANDURANGA R KINI MD

Original Issue Date

06/02/1982

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023