SUDHA BHOOPALAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

SUDHA

Last Name

BHOOPALAM

Suffix

Business Name

SUDHA BHOOPALAM MD

Original Issue Date

04/16/1997

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023