SOBHANA KRISHNA POTLURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

SOBHANA

Middle

KRISHNA

Last Name

POTLURI

Business Name

SOBHANA KRISHNA POTLURI MD

Original Issue Date

03/02/2023

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023