SMITHA REDDY PAMULAPARTHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

SMITHA

Middle

REDDY

Last Name

PAMULAPARTHY

Business Name

SMITHA REDDY PAMULAPARTHY MD

Original Issue Date

02/01/2012

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020