VITTAL V CHAPA 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

VITTAL V

Last Name

CHAPA

Business Name

VITTAL V CHAPA

Original Issue Date

01/01/1997

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020