RAMANA VENKATA YEDAVALLI 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

First Name

RAMANA

Middle

VENKATA

Last Name

YEDAVALLI

Suffix

Business Name

RAMANA VENKATA YEDAVALLI MD

Original Issue Date

07/31/2009

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023