SRINIVASARAO C YAGANTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

SRINIVASARAO

Middle

Last Name

YAGANTI

Suffix

Business Name

SRINIVASARAO C YAGANTI MD

Original Issue Date

09/13/1996

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023