SUSMITHA PUPPALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120875

License Status

ACTIVE

Business

First Name

SUSMITHA

Last Name

PUPPALA

Suffix

Business Name

SUSMITHA PUPPALA MD

Original Issue Date

05/15/2008

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

06/30/2023