KALYANA C PORURI MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

ACTIVE

N

KALYANA

C

PORURI

MD

KALYANA C PORURI MD

04/26/2001

05/22/2023

07/31/2026

SOUTH ELGIN

IL

60177

KANE

II III IV V

N

05/22/2023