SIVARAMA K YAMAJALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

SIVARAMA K

Last Name

YAMAJALA

Business Name

SIVARAMA K YAMAJALA

Original Issue Date

08/02/1988

Effective Date

08/02/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006