NAGA BHAVANI MEDURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

NAGA

Middle

BHAVANI

Last Name

MEDURI

Suffix

Business Name

NAGA BHAVANI MEDURI MD

Original Issue Date

02/06/2008

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011