RAJESH BANDERUDRAPPAGARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

Title

First Name

RAJESH

Last Name

BANDERUDRAPPAGARI

Business Name

RAJESH BANDERUDRAPPAGARI MD

Original Issue Date

12/06/2016

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023