SAIKIRAN RAGHAVAPURAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

SAIKIRAN

Last Name

RAGHAVAPURAM

Business Name

SAIKIRAN RAGHAVAPURAM MD

Original Issue Date

04/10/2017

Effective Date

04/10/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63144

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021