SILPA MADDALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

SILPA

Last Name

MADDALA

Business Name

SILPA MADDALA MD

Original Issue Date

04/19/2013

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CARTERVILLE

State

Zip

62918

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023