NANDU GOURINENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

NANDU

Last Name

GOURINENI

Business Name

NANDU GOURINENI MD

Original Issue Date

10/05/2012

Effective Date

10/05/2012

Expiration Date

07/31/2014

City

COLUMBUS

State

Zip

47203

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014