NAGENDRA SAI KONERU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

NAGENDRA

Middle

SAI

Last Name

KONERU

Suffix

Business Name

NAGENDRA SAI KONERU MD

Original Issue Date

04/22/2008

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023