RAMANA KUMAR PUPPALA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

RAMANA

Middle

KUMAR

Last Name

PUPPALA

Business Name

RAMANA KUMAR PUPPALA

Original Issue Date

03/07/2005

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2023