KRISHNA MUDIMBI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

KRISHNA

Last Name

MUDIMBI

Business Name

KRISHNA MUDIMBI MD

Original Issue Date

07/15/2023

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023