CHANDRA B DOMMARAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

CHANDRA

Middle

Last Name

DOMMARAJU

Business Name

CHANDRA B DOMMARAJU MD

Original Issue Date

09/18/2014

Effective Date

09/18/2014

Expiration Date

07/31/2017

City

FESTUS

State

Zip

63028

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017