HARSHA VINEETH POLAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

HARSHA

Middle

VINEETH

Last Name

POLAVARAPU

Business Name

HARSHA VINEETH POLAVARAPU MD

Original Issue Date

09/18/2019

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023