ROM MOHAN R KOPPARTHI 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

First Name

ROM MOHAN R

Last Name

KOPPARTHI

Suffix

Business Name

ROM MOHAN R KOPPARTHI MD

Original Issue Date

02/27/1985

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023