KAMALA TUMMALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

KAMALA

Last Name

TUMMALA

Suffix

Business Name

KAMALA TUMMALA MD

Original Issue Date

01/01/1997

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020