VIJAY KAKUMANU M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

M.D.

First Name

VIJAY

Last Name

KAKUMANU

Business Name

VIJAY KAKUMANU M.D.

Original Issue Date

11/04/2025

Effective Date

11/04/2025

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2025