USHA R MUTHYALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

USHA

Middle

Last Name

MUTHYALA

Business Name

USHA R MUTHYALA MD

Original Issue Date

06/18/2015

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

SAINT CHARLES

State

Zip

63303

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021