LAKSHMI MANOGNA CHINTALACHERUVU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

LAKSHMI MANOGNA

Last Name

CHINTALACHERUVU

Business Name

LAKSHMI MANOGNA CHINTALACHERUVU MD

Original Issue Date

04/22/2021

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023