ANIATHA R AYYALAPU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

ANIATHA R

Last Name

AYYALAPU

Suffix

Business Name

ANIATHA R AYYALAPU MD

Original Issue Date

07/29/1996

Effective Date

07/29/1996

Expiration Date

07/31/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006