RADHA VANUKURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

RADHA

Last Name

VANUKURI

Business Name

RADHA VANUKURI MD

Original Issue Date

12/22/2017

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/13/2023