JAGAN MOHAN REDDY BOKKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

JAGAN MOHAN

Middle

REDDY

Last Name

BOKKA

Suffix

Business Name

JAGAN MOHAN REDDY BOKKA MD

Original Issue Date

07/14/2011

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023