ABHISHEK LAXMI NARASIMHA THUMMALAKUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

ABHISHEK

Middle

LAXMI NARASIMHA

Last Name

THUMMALAKUNTA

Business Name

ABHISHEK LAXMI NARASIMHA THUMMALAKUNTA MD

Original Issue Date

08/28/2012

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021