RAJEEV L PANGULURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

RAJEEV

Middle

Last Name

PANGULURI

Business Name

RAJEEV L PANGULURI MD

Original Issue Date

01/31/2011

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

RIVER GROVE

State

Zip

60171

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017