SRINU TAKKALLAPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

SRINU

Last Name

TAKKALLAPALLI

Suffix

Business Name

SRINU TAKKALLAPALLI MD

Original Issue Date

08/02/2010

Effective Date

01/03/2018

Expiration Date

09/30/2020

City

SAN DIEGO

State

Zip

92130

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021