PHANI ASHOK ATTALURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

PHANI

Middle

ASHOK

Last Name

ATTALURI

Suffix

Business Name

PHANI ASHOK ATTALURI MD

Original Issue Date

03/16/2011

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014