HAREESH KUMAR GUNDLAPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

HAREESH

Middle

KUMAR

Last Name

GUNDLAPALLI

Business Name

HAREESH KUMAR GUNDLAPALLI MD

Original Issue Date

07/25/2017

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

MCMINNVILLE

State

Zip

97128

County

OREGON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021