SRINIDHI MUSUNURI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

SRINIDHI

Last Name

MUSUNURI

Business Name

SRINIDHI MUSUNURI

Original Issue Date

03/15/2004

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021