SATYANARAYANA R MUKKERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

SATYANARAYANA

Middle

Last Name

MUKKERA

Business Name

SATYANARAYANA R MUKKERA MD

Original Issue Date

04/18/2012

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021