BABU N PONAKALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

BABU

Middle

Last Name

PONAKALA

Suffix

Business Name

BABU N PONAKALA MD

Original Issue Date

12/29/1997

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023