MADHU DUKKIPATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109161

License Status

ACTIVE

Business

First Name

MADHU

Last Name

DUKKIPATI

Suffix

Business Name

MADHU DUKKIPATI MD

Original Issue Date

05/01/2003

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/06/2023