KOTA SADASHIVA KARANTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

KOTA

Middle

SADASHIVA

Last Name

KARANTH

Suffix

Business Name

KOTA SADASHIVA KARANTH MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014