MANNACHANALLUR RAMAKRISHNAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

MANNACHANALLUR

Last Name

RAMAKRISHNAN

Business Name

MANNACHANALLUR RAMAKRISHNAN MD

Original Issue Date

01/24/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023