ASWARTHA REDDY POTHULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

ASWARTHA

Middle

REDDY

Last Name

POTHULA

Suffix

Business Name

ASWARTHA REDDY POTHULA MD

Original Issue Date

07/12/2001

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023