SUSHMITA NALLAMOTHU PRATHIPATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

SUSHMITA

Middle

NALLAMOTHU

Last Name

PRATHIPATI

Business Name

SUSHMITA NALLAMOTHU PRATHIPATI MD

Original Issue Date

03/27/2013

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023