NIRMALA C BHOOPALAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046082

License Status

INACTIVE

Business

First Name

NIRMALA

Middle

Last Name

BHOOPALAM

Suffix

Business Name

NIRMALA C BHOOPALAM MD

Original Issue Date

08/17/1972

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/05/2020