VENKATESWARARAO ALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

VENKATESWARARAO

Last Name

ALLA

Suffix

Business Name

VENKATESWARARAO ALLA MD

Original Issue Date

05/16/2008

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021