PRASANNA LAKSHMI YELAMANCHILI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

PRASANNA

Middle

LAKSHMI

Last Name

YELAMANCHILI

Business Name

PRASANNA LAKSHMI YELAMANCHILI MD

Original Issue Date

04/09/2010

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023