MANJAKKOLLAI P VEERABAGU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

MANJAKKOLLAI P

Last Name

VEERABAGU

Business Name

MANJAKKOLLAI P VEERABAGU

Original Issue Date

08/08/1991

Effective Date

08/08/1991

Expiration Date

07/31/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006