SUJATHA REDDY GOGULA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

SUJATHA

Middle

REDDY

Last Name

GOGULA

Business Name

SUJATHA REDDY GOGULA

Original Issue Date

08/20/2009

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

WAUCONDA

State

Zip

60084

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2026