SUDHIR PENUGONDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117807

License Status

ACTIVE

Business

First Name

SUDHIR

Last Name

PENUGONDA

Suffix

Business Name

SUDHIR PENUGONDA MD

Original Issue Date

03/08/2007

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2023