HEMANTHA K KODURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

HEMANTHA

Middle

Last Name

KODURI

Suffix

Business Name

HEMANTHA K KODURI MD

Original Issue Date

01/29/2007

Effective Date

06/03/2011

Expiration Date

07/31/2014

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014