LALANA BABUGOWDA 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

First Name

LALANA

Last Name

BABUGOWDA

Suffix

Business Name

LALANA BABUGOWDA MD

Original Issue Date

10/17/1996

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014