PRASHANTH G GOWDA 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

PRASHANTH

Middle

Last Name

GOWDA

Suffix

Business Name

PRASHANTH G GOWDA MD

Original Issue Date

04/21/2005

Effective Date

04/07/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014