SASIKANTH V ADIGOPULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

SASIKANTH

Middle

Last Name

ADIGOPULA

Suffix

Business Name

SASIKANTH V ADIGOPULA MD

Original Issue Date

08/05/2009

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014