RANGA R KOTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

CANCELLED

Business

First Name

RANGA R

Last Name

KOTA

Suffix

Business Name

RANGA R KOTA MD

Original Issue Date

08/02/1989

Effective Date

08/02/1989

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006