JALAJAKSHI POTLURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

JALAJAKSHI

Last Name

POTLURI

Suffix

Business Name

JALAJAKSHI POTLURI MD

Original Issue Date

10/21/1991

Effective Date

05/23/2018

Expiration Date

09/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2021