MUDAPPA KARINERAVANDA KALAIAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

MUDAPPA

Middle

KARINERAVANDA

Last Name

KALAIAH

Business Name

MUDAPPA KARINERAVANDA KALAIAH

Original Issue Date

03/23/2019

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2023