POOJITHA KOLLURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

POOJITHA

Last Name

KOLLURI

Business Name

POOJITHA KOLLURI MD

Original Issue Date

10/20/2021

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023