AMUTHA VALLI RAJAGOPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

AMUTHA

Middle

VALLI

Last Name

RAJAGOPAL

Business Name

AMUTHA VALLI RAJAGOPAL MD

Original Issue Date

04/25/2016

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021