TEJA POOSARLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

TEJA

Last Name

POOSARLA

Business Name

TEJA POOSARLA MD

Original Issue Date

09/30/2024

Effective Date

09/30/2024

Expiration Date

07/31/2026

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

09/30/2024