MADHU SHREE GUNDAVARAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

MADHU

Middle

SHREE

Last Name

GUNDAVARAM

Suffix

Business Name

MADHU SHREE GUNDAVARAM MD

Original Issue Date

10/12/2005

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023