SUHASINI GUDIPATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

SUHASINI

Last Name

GUDIPATI

Suffix

Business Name

SUHASINI GUDIPATI MD

Original Issue Date

06/10/1988

Effective Date

06/10/1988

Expiration Date

07/31/1990

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2015