EMMANUEL A VENKATESAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114007

License Status

ACTIVE

Business

First Name

EMMANUEL

Middle

Last Name

VENKATESAN

Suffix

Business Name

EMMANUEL A VENKATESAN MD

Original Issue Date

06/24/2005

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

07/27/2023