PRASAD L R K MUPPAVARAPU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

PRASAD L R K

Last Name

MUPPAVARAPU

Suffix

Business Name

PRASAD L R K MUPPAVARAPU MD

Original Issue Date

07/25/1985

Effective Date

07/25/1985

Expiration Date

07/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006