KRIPAKARAN M PUVALAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

KRIPAKARAN

Middle

Last Name

PUVALAI

Suffix

Business Name

KRIPAKARAN M PUVALAI MD

Original Issue Date

05/24/2000

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014