SHIREESHA SANGINENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

SHIREESHA

Last Name

SANGINENI

Business Name

SHIREESHA SANGINENI MD

Original Issue Date

08/01/2012

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017