ANANTHA RAMANA VELLIPURAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

ANANTHA

Middle

RAMANA

Last Name

VELLIPURAM

Business Name

ANANTHA RAMANA VELLIPURAM MD

Original Issue Date

07/29/2014

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017