ASWARTHA REDDY POTHULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

ASWARTHA

Middle

REDDY

Last Name

POTHULA

Suffix

Business Name

ASWARTHA REDDY POTHULA MD

Original Issue Date

03/29/2006

Effective Date

05/15/2014

Expiration Date

07/31/2017

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020