DEEPA RAJU NADIMPALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

DEEPA

Middle

RAJU

Last Name

NADIMPALLI

Business Name

DEEPA RAJU NADIMPALLI MD

Original Issue Date

09/17/2012

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023