RAVIPRASAD VS KANAKAMEDALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

RAVIPRASAD VS

Last Name

KANAKAMEDALA

Suffix

Business Name

RAVIPRASAD VS KANAKAMEDALA MD

Original Issue Date

06/09/1986

Effective Date

06/09/1986

Expiration Date

07/31/1990

City

HAMMOND

State

Zip

46320

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006