SRINIVAS C KOTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

SRINIVAS C

Last Name

KOTA

Suffix

Business Name

SRINIVAS C KOTA MD

Original Issue Date

06/10/1997

Effective Date

06/10/1997

Expiration Date

07/31/2002

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020