SRINIVAS C KOTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

SRINIVAS C

Last Name

KOTA

Suffix

Business Name

SRINIVAS C KOTA MD

Original Issue Date

05/07/1997

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023