KRUPA REVANNA NATARAJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

KRUPA

Middle

REVANNA

Last Name

NATARAJ

Business Name

KRUPA REVANNA NATARAJ MD

Original Issue Date

05/05/2025

Effective Date

05/05/2025

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2025