MADHURI VENTRAPRAGADA KONANAHALLI 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

First Name

MADHURI

Middle

VENTRAPRAGADA

Last Name

KONANAHALLI

Suffix

Business Name

MADHURI VENTRAPRAGADA KONANAHALLI MD

Original Issue Date

09/24/2008

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023