LAXMAIAH MANCHIKANTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

LAXMAIAH

Last Name

MANCHIKANTI

Suffix

Business Name

LAXMAIAH MANCHIKANTI MD

Original Issue Date

04/13/1989

Effective Date

04/13/1989

Expiration Date

07/31/1990

City

HARRIS

State

Zip

62946

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020