VENKAT RAO KAKOLLU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

VENKAT

Middle

RAO

Last Name

KAKOLLU

Business Name

VENKAT RAO KAKOLLU MD

Original Issue Date

06/25/2014

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023