RAJESH KUMAR KAKARLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

RAJESH

Middle

KUMAR

Last Name

KAKARLA

Business Name

RAJESH KUMAR KAKARLA MD

Original Issue Date

12/26/2012

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MACHESNEY PARK

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023