VAMSI NUKALA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****03

NOT RENEWED

N

MD

VAMSI

NUKALA

VAMSI NUKALA MD

11/28/2016

09/29/2020

07/31/2023

MARYVILLE

IL

62062

MADISON

PRACTITIONER

II III IV V

N

11/30/2023