PRASANTH B KATTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154765

License Status

ACTIVE

Business

Title

First Name

PRASANTH

Middle

Last Name

KATTA

Business Name

PRASANTH B KATTA DO

Original Issue Date

11/14/2020

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

SYCAMORE

State

Zip

60178

Ever Disciplined

LastModifiedDate

05/08/2023