SUDARSHAN K KOMANAPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

SUDARSHAN K

Last Name

KOMANAPALLI

Suffix

Business Name

SUDARSHAN K KOMANAPALLI MD

Original Issue Date

10/17/1990

Effective Date

10/17/1990

Expiration Date

07/31/2005

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020