RAMESH SHATAGOPAM 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

RAMESH

Last Name

SHATAGOPAM

Suffix

Business Name

RAMESH SHATAGOPAM MD

Original Issue Date

02/07/2006

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023