MANASA MADHURI METIREDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MANASA

Middle

MADHURI

Last Name

METIREDDY

Suffix

Business Name

MANASA MADHURI METIREDDY MD

Original Issue Date

08/27/2013

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

SAINT CHARLES

State

Zip

63303

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017