MAHENDRA GUNAPOOTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

MAHENDRA

Last Name

GUNAPOOTI

Suffix

Business Name

MAHENDRA GUNAPOOTI MD

Original Issue Date

09/14/2004

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023