KIRAN KUMAR CHINTAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

KIRAN

Middle

KUMAR

Last Name

CHINTAM

Business Name

KIRAN KUMAR CHINTAM MD

Original Issue Date

06/14/2012

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CAPE GIRARDEAU

State

Zip

63701

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021