RAMAPRASAD KONANUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

RAMAPRASAD

Last Name

KONANUR

Suffix

Business Name

RAMAPRASAD KONANUR MD

Original Issue Date

07/16/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023