GOUTAMI NALLAMOTHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

GOUTAMI

Last Name

NALLAMOTHU

Suffix

Business Name

GOUTAMI NALLAMOTHU MD

Original Issue Date

01/06/1999

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023