MADHU KIRAN KANCHERLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093127

License Status

NOT RENEWED

Business

First Name

MADHU

Middle

KIRAN

Last Name

KANCHERLA

Suffix

Business Name

MADHU KIRAN KANCHERLA MD

Original Issue Date

06/08/1996

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63124

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021