SOUJANYA RAO PULLURU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

SOUJANYA

Middle

RAO

Last Name

PULLURU

Business Name

SOUJANYA RAO PULLURU MD

Original Issue Date

12/10/2003

Effective Date

09/25/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2024