PRAKASH RAO NANCHERLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

PRAKASH RAO

Last Name

NANCHERLA

Suffix

Business Name

PRAKASH RAO NANCHERLA MD

Original Issue Date

11/16/1981

Effective Date

11/16/1981

Expiration Date

07/31/1987

City

IRON MOUNTAIN

State

Zip

49801

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006