RAJENDRA S PENNEPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

RAJENDRA S

Last Name

PENNEPALLI

Suffix

Business Name

RAJENDRA S PENNEPALLI MD

Original Issue Date

01/01/1997

Effective Date

07/28/2017

Expiration Date

09/30/2020

City

CHEBANSE

State

Zip

60922

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021