BALA MURALI KRIS CHENNUPATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

BALA MURALI KRIS

Last Name

CHENNUPATI

Suffix

Business Name

BALA MURALI KRIS CHENNUPATI MD

Original Issue Date

06/04/1996

Effective Date

06/04/1996

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011