MADHU KIRAN KANCHERLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

MADHU

Middle

KIRAN

Last Name

KANCHERLA

Suffix

Business Name

MADHU KIRAN KANCHERLA MD

Original Issue Date

08/23/1996

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021