KOLALA VASUDEVAMURTHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

KOLALA

Last Name

VASUDEVAMURTHY

Suffix

Business Name

KOLALA VASUDEVAMURTHY MD

Original Issue Date

02/04/1992

Effective Date

02/04/1992

Expiration Date

07/31/1999

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011