YASHWANTH YERRAMALLA 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

Title

First Name

YASHWANTH

Last Name

YERRAMALLA

Business Name

YASHWANTH YERRAMALLA MD

Original Issue Date

04/16/2014

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017