DEVARAJ MUNIKRISHNAPPA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

DEVARAJ

Last Name

MUNIKRISHNAPPA

Suffix

Business Name

DEVARAJ MUNIKRISHNAPPA MD

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

07/31/2008

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011