RENU CHUNDURI GOVINDAIAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

RENU

Middle

CHUNDURI

Last Name

GOVINDAIAH

Suffix

Business Name

RENU CHUNDURI GOVINDAIAH MD

Original Issue Date

08/11/2006

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023