VENKATA SATISH DONTARAJU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

VENKATA

Middle

SATISH

Last Name

DONTARAJU

Business Name

VENKATA SATISH DONTARAJU MD

Original Issue Date

04/25/2011

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023