DANIEL ERRAMPALLI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

DANIEL

Last Name

ERRAMPALLI

Business Name

DANIEL ERRAMPALLI

Original Issue Date

05/30/2003

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023