MADHAVI ANJANEYULU GOPARAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

MADHAVI

Middle

ANJANEYULU

Last Name

GOPARAJU

Suffix

Business Name

MADHAVI ANJANEYULU GOPARAJU MD

Original Issue Date

08/14/2008

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011