SUMAN VADDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

SUMAN

Last Name

VADDI

Business Name

SUMAN VADDI MD

Original Issue Date

10/28/2021

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63141

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023