VENKATESWARA PRASAD POOLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135600

License Status

ACTIVE

Business

Title

First Name

VENKATESWARA

Middle

PRASAD

Last Name

POOLA

Business Name

VENKATESWARA PRASAD POOLA MD

Original Issue Date

06/20/2014

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/18/2023