SATYAM TATINENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

SATYAM

Last Name

TATINENI

Suffix

Business Name

SATYAM TATINENI MD

Original Issue Date

04/15/1986

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023