RAGHU C VANAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

RAGHU

Middle

Last Name

VANAMA

Business Name

RAGHU C VANAMA MD

Original Issue Date

05/13/2015

Effective Date

05/13/2015

Expiration Date

07/31/2017

City

DETROIT

State

Zip

48201

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017