MALA MURTHY BALAKUMAR 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

First Name

MALA

Middle

MURTHY

Last Name

BALAKUMAR

Suffix

Business Name

MALA MURTHY BALAKUMAR MD

Original Issue Date

12/08/1998

Effective Date

12/08/1998

Expiration Date

07/31/2005

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017