KALYAN KUMAR REDDY MOGILI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

KALYAN

Middle

KUMAR REDDY

Last Name

MOGILI

Suffix

Business Name

KALYAN KUMAR REDDY MOGILI MD

Original Issue Date

07/25/2013

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

DALLAS

State

Zip

75225

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017