SRINIVASA R KOTHAPALLI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

SRINIVASA R

Last Name

KOTHAPALLI

Business Name

SRINIVASA R KOTHAPALLI

Original Issue Date

10/25/1987

Effective Date

10/25/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006