MATANGI PRIYASRI BALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

MATANGI

Middle

PRIYASRI

Last Name

BALA

Suffix

Business Name

MATANGI PRIYASRI BALA MD

Original Issue Date

05/28/2009

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023