LAVANYA KOLLURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

LAVANYA

Last Name

KOLLURI

Suffix

Business Name

LAVANYA KOLLURI MD

Original Issue Date

03/24/2006

Effective Date

03/24/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008