BENARJI TEGALA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

CANCELLED

Business

First Name

BENARJI

Last Name

TEGALA

Business Name

BENARJI TEGALA

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006