RAJARAM POLUDASU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

RAJARAM

Last Name

POLUDASU

Business Name

RAJARAM POLUDASU MD

Original Issue Date

07/09/2008

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023