NAGABHUSHANAM KONERU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

NAGABHUSHANAM

Last Name

KONERU

Suffix

Business Name

NAGABHUSHANAM KONERU MD

Original Issue Date

01/01/1997

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017