SANTHANAM R CHAKRAVARTHY 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

SANTHANAM R

Last Name

CHAKRAVARTHY

Suffix

Business Name

SANTHANAM R CHAKRAVARTHY MD

Original Issue Date

07/29/1985

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014