TITTE R SRINIVAS 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

TITTE R

Last Name

SRINIVAS

Suffix

Business Name

TITTE R SRINIVAS MD

Original Issue Date

08/11/1995

Effective Date

08/11/1995

Expiration Date

07/31/2002

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006