PRASAD L R K MUPPAVARAPU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

CANCELLED

Business

First Name

PRASAD L R K

Last Name

MUPPAVARAPU

Suffix

Business Name

PRASAD L R K MUPPAVARAPU MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DARBY

State

Zip

19023

County

PENNSYLVANIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006