PRASAD V GOURINENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

PRASAD

Middle

Last Name

GOURINENI

Suffix

Business Name

PRASAD V GOURINENI MD

Original Issue Date

05/15/1998

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

PALOS HILLS

State

Zip

60465

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023