KAMESWARI SURYA KONDURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

KAMESWARI

Middle

SURYA

Last Name

KONDURI

Suffix

Business Name

KAMESWARI SURYA KONDURI MD

Original Issue Date

04/24/2001

Effective Date

04/24/2001

Expiration Date

07/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008