RANGA PRABHAKAR VENNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168221

License Status

ACTIVE

Business

Title

First Name

RANGA

Middle

PRABHAKAR

Last Name

VENNA

Business Name

RANGA PRABHAKAR VENNA MD

Original Issue Date

01/10/2024

Effective Date

01/10/2024

Expiration Date

07/31/2026

City

BROADVIEW HEIGHTS

State

Zip

44147

Ever Disciplined

LastModifiedDate

01/10/2024