BALATRIPURA SUNDARI VORUGANTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

BALATRIPURA

Middle

SUNDARI

Last Name

VORUGANTI

Suffix

Business Name

BALATRIPURA SUNDARI VORUGANTI MD

Original Issue Date

06/01/2004

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023