PRANUSHA NAIDU BAXI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

PRANUSHA

Middle

NAIDU

Last Name

BAXI

Business Name

PRANUSHA NAIDU BAXI MD

Original Issue Date

03/12/2021

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023