KOTA SADASHIVA KARANTH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055583

License Status

CANCELLED

Business

First Name

KOTA

Middle

SADASHIVA

Last Name

KARANTH

Suffix

Business Name

KOTA SADASHIVA KARANTH MD

Original Issue Date

11/01/2008

Effective Date

11/01/2008

Expiration Date

10/31/2011

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/30/2008