SRI MAHATHI PRIYANKA KALIPATNAPU Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

SRI MAHATHI

Middle

PRIYANKA

Last Name

KALIPATNAPU

Business Name

SRI MAHATHI PRIYANKA KALIPATNAPU

Original Issue Date

06/07/2023

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023