RAMKISHAN R GUMMADAPU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

RAMKISHAN

Middle

Last Name

GUMMADAPU

Business Name

RAMKISHAN R GUMMADAPU

Original Issue Date

02/02/2005

Effective Date

02/02/2005

Expiration Date

07/31/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008