SRIDHAR VALLABHANENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

SRIDHAR

Last Name

VALLABHANENI

Business Name

SRIDHAR VALLABHANENI MD

Original Issue Date

02/05/2015

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

MILWAUKEE

State

Zip

53202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023