SUNIL CHOWDARY KOLLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

SUNIL

Middle

CHOWDARY

Last Name

KOLLI

Suffix

Business Name

SUNIL CHOWDARY KOLLI MD

Original Issue Date

03/10/2004

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014