SUBRAMANYESWARA RAO GUTTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

SUBRAMANYESWARA

Middle

RAO

Last Name

GUTTA

Suffix

Business Name

SUBRAMANYESWARA RAO GUTTA MD

Original Issue Date

05/30/2003

Effective Date

05/30/2003

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006