VENUGOPAL N CHICKBALLAPUR MD - Medical Doctor License in New Jersey | # 036079499

VENUGOPAL N CHICKBALLAPUR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079499

License Status

INACTIVE

Business

N

First Name

VENUGOPAL N

Last Name

CHICKBALLAPUR

Suffix

MD

Business Name

VENUGOPAL N CHICKBALLAPUR MD

Original Issue Date

10/24/1989

Effective Date

10/24/1989

Expiration Date

07/31/1990

State

NJ

Ever Disciplined

N

LastModifiedDate

09/20/2006