VIDYA KOLLU 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

VIDYA

Last Name

KOLLU

Business Name

VIDYA KOLLU MD

Original Issue Date

07/07/2022

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023