NIRUPAMA NEEMA BONTHALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

NIRUPAMA

Middle

NEEMA

Last Name

BONTHALA

Business Name

NIRUPAMA NEEMA BONTHALA MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014