MADHU DUKKIPATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

MADHU

Last Name

DUKKIPATI

Suffix

Business Name

MADHU DUKKIPATI MD

Original Issue Date

06/24/2003

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023