DANIEL ERRAMPALLI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

ERRAMPALLI

Business Name

DANIEL ERRAMPALLI

Original Issue Date

05/20/2004

Effective Date

05/20/2004

Expiration Date

07/31/2008

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020