BHAGYA LAKSHMI PUPPALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

BHAGYA LAKSHMI

Last Name

PUPPALA

Suffix

Business Name

BHAGYA LAKSHMI PUPPALA MD

Original Issue Date

01/01/1997

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017