SAMUEL SANJAY MURALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

SAMUEL

Middle

SANJAY

Last Name

MURALA

Business Name

SAMUEL SANJAY MURALA MD

Original Issue Date

07/25/2020

Effective Date

07/25/2020

Expiration Date

07/31/2023

City

PADUCAH

State

Zip

42001

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023