PRASHANTH PODARALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137066

License Status

ACTIVE

Business

Title

First Name

PRASHANTH

Last Name

PODARALLA

Business Name

PRASHANTH PODARALLA MD

Original Issue Date

01/12/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Ever Disciplined

LastModifiedDate

04/08/2023