RADHIKA KONERU MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

INOPERATIVE

Business

First Name

RADHIKA

Last Name

KONERU

Suffix

Business Name

RADHIKA KONERU MD

Original Issue Date

03/04/2009

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

NORTHBOROUGH

State

Zip

01532

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023