TARUNA WAGHRAY PENMETCHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

TARUNA

Middle

WAGHRAY

Last Name

PENMETCHA

Suffix

Business Name

TARUNA WAGHRAY PENMETCHA MD

Original Issue Date

03/14/2003

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

BURR-RIDGE

State

Zip

60527

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023