UMADEVI MUTHYALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

CANCELLED

Business

First Name

UMADEVI

Last Name

MUTHYALA

Suffix

Business Name

UMADEVI MUTHYALA MD

Original Issue Date

05/08/2006

Effective Date

05/08/2006

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008