LEELA L NARRA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

LEELA L

Last Name

NARRA

Business Name

LEELA L NARRA

Original Issue Date

08/09/2023

Effective Date

08/09/2023

Expiration Date

07/31/2026

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2023