BALAKRISHNA MUNDODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

BALAKRISHNA

Last Name

MUNDODI

Suffix

Business Name

BALAKRISHNA MUNDODI MD

Original Issue Date

06/15/1983

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

OAKBROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017