VIJAYA D L P MARRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

VIJAYA

Middle

D L P

Last Name

MARRI

Business Name

VIJAYA D L P MARRI MD

Original Issue Date

08/11/2014

Effective Date

08/11/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017