PADMA K KANDULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086649

License Status

ACTIVE

Business

First Name

PADMA

Middle

Last Name

KANDULA

Suffix

Business Name

PADMA K KANDULA MD

Original Issue Date

06/30/1993

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/13/2023