SARALA HOSDURGA SRINIVASA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

SARALA

Middle

HOSDURGA

Last Name

SRINIVASA

Suffix

Business Name

SARALA HOSDURGA SRINIVASA MD

Original Issue Date

04/20/1999

Effective Date

04/20/1999

Expiration Date

07/31/2002

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006