VISHWANATH S GUNDUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

VISHWANATH

Middle

Last Name

GUNDUR

Suffix

Business Name

VISHWANATH S GUNDUR MD

Original Issue Date

11/03/1995

Effective Date

11/03/1995

Expiration Date

07/31/2002

City

DECATUR

State

Zip

62523

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011

Case Number

1998015083

Action

Probation

Discipline Start Date

09/24/2003

Discipline End Date

09/23/2007

Discipline Reason

Violated the terms and conditions of a previously imposed probation.