JAGANNATH DEVULAPALLY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

JAGANNATH

Last Name

DEVULAPALLY

Business Name

JAGANNATH DEVULAPALLY

Original Issue Date

07/11/2002

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023