POORNIMA U PANDELLAPALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

POORNIMA

Middle

Last Name

PANDELLAPALLI

Business Name

POORNIMA U PANDELLAPALLI MD

Original Issue Date

07/12/2021

Effective Date

09/08/2023

Expiration Date

07/31/2026

City

GREAT FALLS

State

Zip

22066

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2023