NENITA MAGANTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

NENITA

Last Name

MAGANTI

Business Name

NENITA MAGANTI MD

Original Issue Date

05/20/2024

Effective Date

05/20/2024

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026