GOTAM TONY VARMA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

GOTAM

Middle

TONY

Last Name

VARMA

Business Name

GOTAM TONY VARMA DO

Original Issue Date

02/23/2015

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023