PRAFULLA KUMARI KONERU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

PRAFULLA KUMARI

Last Name

KONERU

Suffix

Business Name

PRAFULLA KUMARI KONERU MD

Original Issue Date

01/01/1997

Effective Date

10/05/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/05/2023