ROHIT SHIVAYAGI PURANIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

ROHIT

Middle

SHIVAYAGI

Last Name

PURANIK

Business Name

ROHIT SHIVAYAGI PURANIK MD

Original Issue Date

04/17/2014

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

PORTLAND

State

Zip

04103

County

MAINE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017