SANDHYA VENUGOPAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

CANCELLED

Business

First Name

SANDHYA

Last Name

VENUGOPAL

Suffix

Business Name

SANDHYA VENUGOPAL MD

Original Issue Date

02/06/2003

Effective Date

02/06/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

04/17/2008