SRINIVAS KOLLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132466

License Status

NOT RENEWED

Business

Title

First Name

SRINIVAS

Last Name

KOLLA

Business Name

SRINIVAS KOLLA MD

Original Issue Date

04/16/2013

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021