JAGATHI DEEPTHI GOVINDU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

JAGATHI

Middle

DEEPTHI

Last Name

GOVINDU

Business Name

JAGATHI DEEPTHI GOVINDU MD

Original Issue Date

07/24/2015

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023