SUKANTI SUDHIR RAIKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

SUKANTI

Middle

SUDHIR

Last Name

RAIKAR

Suffix

Business Name

SUKANTI SUDHIR RAIKAR MD

Original Issue Date

09/21/2005

Effective Date

09/21/2005

Expiration Date

07/31/2008

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011