KOTESWARI KANCHA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

CANCELLED

Business

First Name

KOTESWARI

Last Name

KANCHA

Suffix

Business Name

KOTESWARI KANCHA MD

Original Issue Date

07/20/1999

Effective Date

07/20/1999

Expiration Date

07/31/2005

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006