SISTLA BALA KRISHNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

SISTLA BALA

Last Name

KRISHNA

Suffix

Business Name

SISTLA BALA KRISHNA MD

Original Issue Date

11/04/1981

Effective Date

11/04/1981

Expiration Date

07/31/1984

City

BENTON

State

Zip

62812

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006