PRAKASH REDDY BONTU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

PRAKASH REDDY

Last Name

BONTU

Suffix

Business Name

PRAKASH REDDY BONTU MD

Original Issue Date

01/01/1997

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

DAVENPORT

State

Zip

52807

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017