SUPARNA KOHLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

SUPARNA

Last Name

KOHLI

Suffix

Business Name

SUPARNA KOHLI MD

Original Issue Date

06/26/2009

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62522

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014