UMA MEDAPATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

UMA

Last Name

MEDAPATI

Suffix

Business Name

UMA MEDAPATI MD

Original Issue Date

02/18/2005

Effective Date

02/18/2005

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006