PREETHI KIRAN VENEPALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128154

License Status

ACTIVE

Business

Title

First Name

PREETHI

Middle

KIRAN

Last Name

VENEPALLI

Business Name

PREETHI KIRAN VENEPALLI MD

Original Issue Date

06/22/2011

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/26/2023

Case Number

2021006584

Action

Suspension

Discipline Start Date

11/15/2021

Discipline End Date

12/22/2021

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/23/2021.