SRISUDHA REDDY GUNDALA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

SRISUDHA

Middle

REDDY

Last Name

GUNDALA

Business Name

SRISUDHA REDDY GUNDALA

Original Issue Date

11/23/1998

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023