VENKAT RAGHAVAN TIRUMALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

VENKAT

Middle

RAGHAVAN

Last Name

TIRUMALA

Suffix

Business Name

VENKAT RAGHAVAN TIRUMALA MD

Original Issue Date

04/04/2007

Effective Date

04/04/2007

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008