RISHI KRANTH VASIREDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

RISHI

Middle

KRANTH

Last Name

VASIREDDY

Business Name

RISHI KRANTH VASIREDDY MD

Original Issue Date

12/04/2012

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017