PRAMILA R VENIGALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

PRAMILA

Middle

Last Name

VENIGALLA

Suffix

Business Name

PRAMILA R VENIGALLA MD

Original Issue Date

08/09/2001

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023