PRAGATHY VUTLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

First Name

PRAGATHY

Last Name

VUTLA

Suffix

Business Name

PRAGATHY VUTLA MD

Original Issue Date

05/17/2005

Effective Date

05/17/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008