LAXMI V MULLAPUDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

LAXMI

Middle

Last Name

MULLAPUDI

Suffix

Business Name

LAXMI V MULLAPUDI MD

Original Issue Date

10/07/2005

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023