NAGA PUSHPA GUNTUPALLI 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

Title

First Name

NAGA

Middle

PUSHPA

Last Name

GUNTUPALLI

Business Name

NAGA PUSHPA GUNTUPALLI MD

Original Issue Date

02/22/2019

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023