SUNEETHA MATTEGUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

SUNEETHA

Last Name

MATTEGUNTA

Suffix

Business Name

SUNEETHA MATTEGUNTA MD

Original Issue Date

12/02/2010

Effective Date

12/02/2010

Expiration Date

07/31/2011

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011