NAGA PUSHPA GUNTUPALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148184

License Status

ACTIVE

Business

Title

First Name

NAGA

Middle

PUSHPA

Last Name

GUNTUPALLI

Business Name

NAGA PUSHPA GUNTUPALLI MD

Original Issue Date

01/23/2019

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

04/10/2023