RAMA THEEGALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

RAMA

Last Name

THEEGALA

Business Name

RAMA THEEGALA MD

Original Issue Date

03/21/2012

Effective Date

03/21/2012

Expiration Date

07/31/2014

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014