RAJAGOPAL R NANDYAL 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

RAJAGOPAL

Middle

Last Name

NANDYAL

Suffix

Business Name

RAJAGOPAL R NANDYAL MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011