HEMANTH NAGARAJA HAMPOLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

Title

First Name

HEMANTH

Middle

NAGARAJA

Last Name

HAMPOLE

Business Name

HEMANTH NAGARAJA HAMPOLE MD

Original Issue Date

02/11/2014

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017