KUPPUSWAMY JAGARLAMUDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

KUPPUSWAMY

Last Name

JAGARLAMUDI

Business Name

KUPPUSWAMY JAGARLAMUDI MD

Original Issue Date

07/25/2011

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023