NAGESWARARAO VALLABHANENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

NAGESWARARAO

Last Name

VALLABHANENI

Suffix

Business Name

NAGESWARARAO VALLABHANENI MD

Original Issue Date

07/26/2018

Effective Date

07/26/2018

Expiration Date

09/30/2020

City

TROY

State

Zip

62294

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021