BALARAMA KRISHNA SURAPANENI 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

Title

First Name

BALARAMA

Middle

KRISHNA

Last Name

SURAPANENI

Business Name

BALARAMA KRISHNA SURAPANENI MD

Original Issue Date

06/09/2025

Effective Date

06/09/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2025