VAMSI KIRAN KODUMURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

VAMSI

Middle

KIRAN

Last Name

KODUMURI

Suffix

Business Name

VAMSI KIRAN KODUMURI MD

Original Issue Date

04/15/2011

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021