RAMA K KUCHIPUDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

RAMA

Middle

Last Name

KUCHIPUDI

Business Name

RAMA K KUCHIPUDI MD

Original Issue Date

08/20/2012

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017