RAVISHANKAR HASANADKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

RAVISHANKAR

Last Name

HASANADKA

Suffix

Business Name

RAVISHANKAR HASANADKA MD

Original Issue Date

05/08/2009

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023