VENKATA S DEVABHAKTUNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

VENKATA S

Last Name

DEVABHAKTUNI

Suffix

Business Name

VENKATA S DEVABHAKTUNI MD

Original Issue Date

08/14/1990

Effective Date

08/14/1990

Expiration Date

07/31/1993

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006