JYOTHSNA DASARATHULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143010

License Status

NOT RENEWED

Business

Title

First Name

JYOTHSNA

Last Name

DASARATHULA

Business Name

JYOTHSNA DASARATHULA MD

Original Issue Date

04/14/2017

Effective Date

08/11/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/30/2023