LEELA SIVA SAI DHANEKULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094358

License Status

ACTIVE

Business

First Name

LEELA SIVA SAI

Last Name

DHANEKULA

Suffix

Business Name

LEELA SIVA SAI DHANEKULA MD

Original Issue Date

10/13/1996

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

05/06/2023