DEDEEPYA KONUTHULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159969

License Status

ACTIVE

Business

Title

First Name

DEDEEPYA

Last Name

KONUTHULA

Business Name

DEDEEPYA KONUTHULA MD

Original Issue Date

03/28/2022

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2023