NUPOOR DEEPAK TILLU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

NUPOOR

Middle

DEEPAK

Last Name

TILLU

Business Name

NUPOOR DEEPAK TILLU MD

Original Issue Date

08/20/2019

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023