RAGHURAM G ELLURU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

RAGHURAM G

Last Name

ELLURU

Suffix

Business Name

RAGHURAM G ELLURU MD

Original Issue Date

02/26/1996

Effective Date

02/26/1996

Expiration Date

07/31/1999

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006