CHANDRASEKHAR PRAPHULLA UPPUTURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

CHANDRASEKHAR

Middle

PRAPHULLA

Last Name

UPPUTURI

Suffix

Business Name

CHANDRASEKHAR PRAPHULLA UPPUTURI MD

Original Issue Date

01/24/2003

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021