KOTESWARA RAO NARLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

KOTESWARA RAO

Last Name

NARLA

Suffix

Business Name

KOTESWARA RAO NARLA MD

Original Issue Date

07/12/1996

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2023