KIRAN KUMAR PADALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

KIRAN

Middle

KUMAR

Last Name

PADALA

Suffix

Business Name

KIRAN KUMAR PADALA MD

Original Issue Date

12/28/2004

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023