RATNA PRIYA KANUMURY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

ACTIVE

Business

First Name

RATNA

Middle

PRIYA

Last Name

KANUMURY

Business Name

RATNA PRIYA KANUMURY

Original Issue Date

04/01/2002

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

WILMETTE

State

Zip

60091

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025