SAI PRAVEEN HARANATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

SAI

Middle

PRAVEEN

Last Name

HARANATH

Business Name

SAI PRAVEEN HARANATH MD

Original Issue Date

09/12/2011

Effective Date

09/12/2011

Expiration Date

07/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014