NIKHILESH PENMETSA RAJU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

NIKHILESH

Middle

PENMETSA

Last Name

RAJU

Business Name

NIKHILESH PENMETSA RAJU MD

Original Issue Date

08/23/2021

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

MASON

State

Zip

45040

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2023