PANCHAPAKESAN PRANATHARTHI HARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

PANCHAPAKESAN

Middle

PRANATHARTHI

Last Name

HARAN

Suffix

Business Name

PANCHAPAKESAN PRANATHARTHI HARAN MD

Original Issue Date

10/10/2023

Effective Date

10/10/2023

Expiration Date

07/31/2026

City

KOKOMO

State

Zip

46902

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/10/2023