RAJYALAKSHMI M GANNU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

RAJYALAKSHMI

Middle

Last Name

GANNU

Business Name

RAJYALAKSHMI M GANNU MD

Original Issue Date

10/14/2014

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023