U NALLA BANU DURAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

U NALLA

Middle

BANU

Last Name

DURAI

Suffix

Business Name

U NALLA BANU DURAI MD

Original Issue Date

09/22/1992

Effective Date

09/22/1992

Expiration Date

07/31/1996

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011