RAJENDRA P MULLAPUDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

RAJENDRA

Middle

Last Name

MULLAPUDI

Suffix

Business Name

RAJENDRA P MULLAPUDI MD

Original Issue Date

08/06/2007

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023