SUGUNA SIRAMDASU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

SUGUNA

Last Name

SIRAMDASU

Suffix

Business Name

SUGUNA SIRAMDASU MD

Original Issue Date

04/15/1982

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017