SRIDEVI DONEPUDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

SRIDEVI

Last Name

DONEPUDI

Business Name

SRIDEVI DONEPUDI

Original Issue Date

01/29/2003

Effective Date

01/29/2003

Expiration Date

07/31/2008

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008