MURALIDHARA R DEVARAPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

MURALIDHARA

Middle

Last Name

DEVARAPALLI

Business Name

MURALIDHARA R DEVARAPALLI MD

Original Issue Date

06/18/2012

Effective Date

12/16/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017