LAXMAIAH MANCHIKANTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

LAXMAIAH

Last Name

MANCHIKANTI

Suffix

Business Name

LAXMAIAH MANCHIKANTI MD

Original Issue Date

03/16/2000

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023