RAMA R DANDAMUDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

RAMA R

Last Name

DANDAMUDI

Business Name

RAMA R DANDAMUDI

Original Issue Date

11/17/1993

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017