RAVIKUMAR KANNEGANTI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

RAVIKUMAR

Last Name

KANNEGANTI

Business Name

RAVIKUMAR KANNEGANTI

Original Issue Date

12/08/1988

Effective Date

12/08/1988

Expiration Date

07/31/1990

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006