PRASAD J ATHOTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051584

License Status

NOT RENEWED

Business

First Name

PRASAD J

Last Name

ATHOTA

Suffix

Business Name

PRASAD J ATHOTA MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

City

HELENA

State

Zip

72342

County

ARKANSAS

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1988000587

Action

Suspension

Discipline Start Date

11/03/1989