NAGANNA CHANNAVEERAIAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

NAGANNA

Last Name

CHANNAVEERAIAH

Business Name

NAGANNA CHANNAVEERAIAH MD

Original Issue Date

10/21/2008

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

BALLWIN

State

Zip

63011

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017