KRISHNA SASTRY VARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

CANCELLED

Business

First Name

KRISHNA

Middle

SASTRY

Last Name

VARA

Suffix

Business Name

KRISHNA SASTRY VARA MD

Original Issue Date

10/01/1997

Effective Date

10/01/1997

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006