VENKATA L G MOPARTHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

VENKATA

Middle

L G

Last Name

MOPARTHI

Suffix

Business Name

VENKATA L G MOPARTHI MD

Original Issue Date

08/31/2004

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CLIFTON

State

Zip

60927

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023