NASARAIAH NALLAMOTHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

NASARAIAH

Last Name

NALLAMOTHU

Suffix

Business Name

NASARAIAH NALLAMOTHU MD

Original Issue Date

06/29/1997

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023