PRASHANTH PODARALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

PRASHANTH

Last Name

PODARALLA

Business Name

PRASHANTH PODARALLA MD

Original Issue Date

01/12/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023