MEGHA ADUSUMALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

MEGHA

Last Name

ADUSUMALLI

Business Name

MEGHA ADUSUMALLI MD

Original Issue Date

08/04/2021

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023