EMMANUEL A VENKATESAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

EMMANUEL

Middle

Last Name

VENKATESAN

Suffix

Business Name

EMMANUEL A VENKATESAN MD

Original Issue Date

07/13/2020

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023