VENKATA S DEVABHAKTUNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

VENKATA S

Last Name

DEVABHAKTUNI

Suffix

Business Name

VENKATA S DEVABHAKTUNI MD

Original Issue Date

12/11/1990

Effective Date

12/11/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006