POONAM PARUCHURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

POONAM

Last Name

PARUCHURI

Business Name

POONAM PARUCHURI MD

Original Issue Date

01/02/2014

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017