ADMATHA MUTHYALA WINFRED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

ADMATHA

Middle

MUTHYALA

Last Name

WINFRED

Business Name

ADMATHA MUTHYALA WINFRED MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021