PADMA K KANDULA 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

First Name

PADMA

Middle

Last Name

KANDULA

Suffix

Business Name

PADMA K KANDULA MD

Original Issue Date

07/27/2000

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023