DEEPA PRAKASH BHUPALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

DEEPA

Middle

PRAKASH

Last Name

BHUPALI

Business Name

DEEPA PRAKASH BHUPALI MD

Original Issue Date

06/20/2017

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023