SHYAMALA K REVULURI 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

SHYAMALA K

Last Name

REVULURI

Suffix

Business Name

SHYAMALA K REVULURI MD

Original Issue Date

01/22/1997

Effective Date

01/22/1997

Expiration Date

07/31/2002

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011