SHYLA RAJU VENGALIL MD 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

SHYLA RAJU

Last Name

VENGALIL

Suffix

Business Name

SHYLA RAJU VENGALIL MD

Original Issue Date

12/06/1993

Effective Date

12/06/1993

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006