BETTAIAH THIMME GOWDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

BETTAIAH

Middle

THIMME

Last Name

GOWDA

Suffix

Business Name

BETTAIAH THIMME GOWDA MD

Original Issue Date

08/27/2001

Effective Date

08/27/2001

Expiration Date

07/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020