RUPA BONTU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

RUPA

Last Name

BONTU

Suffix

Business Name

RUPA BONTU MD

Original Issue Date

02/07/1983

Effective Date

02/07/1983

Expiration Date

07/31/2002

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017