VINAYA CHAMPA MULKAREDDY 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

Title

First Name

VINAYA

Middle

CHAMPA

Last Name

MULKAREDDY

Business Name

VINAYA CHAMPA MULKAREDDY MD

Original Issue Date

05/03/2021

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023