RAHUL REDDY KOLAVALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

RAHUL

Middle

REDDY

Last Name

KOLAVALA

Suffix

Business Name

RAHUL REDDY KOLAVALA MD

Original Issue Date

12/10/2010

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

TEMECULA

State

Zip

92592

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021