SANDESH KUCHIPUDI 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

SANDESH

Last Name

KUCHIPUDI

Business Name

SANDESH KUCHIPUDI

Original Issue Date

08/20/2004

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023