ANUJ S PUPPALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

ANUJ

Middle

Last Name

PUPPALA

Business Name

ANUJ S PUPPALA MD

Original Issue Date

06/21/2007

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023