JYOTHI GONDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

JYOTHI

Last Name

GONDI

Suffix

Business Name

JYOTHI GONDI MD

Original Issue Date

07/15/2003

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023