KUDAVALLI SOMASHEKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

KUDAVALLI

Last Name

SOMASHEKAR

Suffix

Business Name

KUDAVALLI SOMASHEKAR MD

Original Issue Date

02/13/1985

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021