KRISHNA M KUNCHE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

KRISHNA

Middle

Last Name

KUNCHE

Business Name

KRISHNA M KUNCHE

Original Issue Date

05/23/2007

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

EAST ALTON

State

Zip

62024

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017