SIRISH PARVATHANENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

SIRISH

Last Name

PARVATHANENI

Suffix

Business Name

SIRISH PARVATHANENI MD

Original Issue Date

09/22/2016

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

65810

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021