PADMAJA VENKATA SANAKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

PADMAJA

Middle

VENKATA

Last Name

SANAKA

Suffix

Business Name

PADMAJA VENKATA SANAKA MD

Original Issue Date

06/22/2009

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020