KAVITA NEELIMA MANCHIKANTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

KAVITA

Middle

NEELIMA

Last Name

MANCHIKANTI

Business Name

KAVITA NEELIMA MANCHIKANTI MD

Original Issue Date

11/13/2015

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023