MODDY H KILUVIA 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

Title

First Name

MODDY

Middle

Last Name

KILUVIA

Business Name

MODDY H KILUVIA MD

Original Issue Date

02/13/2019

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

LINCOLN

State

Zip

62656

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023