MANASA KANDULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143312

License Status

ACTIVE

Business

Title

First Name

MANASA

Last Name

KANDULA

Business Name

MANASA KANDULA MD

Original Issue Date

05/31/2017

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

04/11/2023