VENUGOPAL DEPALA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037654

License Status

CANCELLED

Business

First Name

VENUGOPAL

Last Name

DEPALA

Business Name

VENUGOPAL DEPALA

Original Issue Date

05/13/1998

Effective Date

05/13/1998

Expiration Date

06/30/2002

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006