BABU N PONAKALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092811

License Status

ACTIVE

Business

First Name

BABU

Middle

Last Name

PONAKALA

Suffix

Business Name

BABU N PONAKALA MD

Original Issue Date

05/23/1996

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2023