LAXMI V MULLAPUDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114274

License Status

ACTIVE

Business

First Name

LAXMI

Middle

Last Name

MULLAPUDI

Suffix

Business Name

LAXMI V MULLAPUDI MD

Original Issue Date

07/28/2005

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/29/2023