SUJATHA REDDY GOGULA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003332

License Status

ACTIVE

Business

First Name

SUJATHA

Middle

REDDY

Last Name

GOGULA

Business Name

SUJATHA REDDY GOGULA

Original Issue Date

09/26/2008

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

02/08/2026