SUKANTI SUDHIR RAIKAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

CANCELLED

Business

First Name

SUKANTI

Middle

SUDHIR

Last Name

RAIKAR

Suffix

Business Name

SUKANTI SUDHIR RAIKAR MD

Original Issue Date

05/12/1983

Effective Date

05/12/1983

Expiration Date

07/31/1990

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011