KALPANA PUPPALA BICKNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

KALPANA

Middle

PUPPALA

Last Name

BICKNELL

Suffix

Business Name

KALPANA PUPPALA BICKNELL MD

Original Issue Date

11/14/2006

Effective Date

07/22/2011

Expiration Date

07/31/2014

City

LONG GROVE

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014