VISHAL GUNNALA 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

Title

First Name

VISHAL

Last Name

GUNNALA

Business Name

VISHAL GUNNALA MD

Original Issue Date

04/24/2012

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017