KANTHI AKKINENI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

NOT RENEWED

Business

First Name

KANTHI

Last Name

AKKINENI

Business Name

KANTHI AKKINENI

Original Issue Date

05/09/2016

Effective Date

06/14/2024

Expiration Date

03/01/2020

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025