VEENA MOLAGAVALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

VEENA

Last Name

MOLAGAVALLI

Suffix

Business Name

VEENA MOLAGAVALLI MD

Original Issue Date

02/06/2003

Effective Date

02/06/2003

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006