SRINIVAS GULLAPALLI 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

Title

First Name

SRINIVAS

Last Name

GULLAPALLI

Business Name

SRINIVAS GULLAPALLI MD

Original Issue Date

12/21/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023