SHYAM MOHAN PUPPALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073281

License Status

ACTIVE

Business

First Name

SHYAM MOHAN

Last Name

PUPPALA

Suffix

Business Name

SHYAM MOHAN PUPPALA MD

Original Issue Date

07/24/1986

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023