PRATHIMA NEERUKONDA 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

PRATHIMA

Last Name

NEERUKONDA

Suffix

Business Name

PRATHIMA NEERUKONDA MD

Original Issue Date

04/23/2008

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014