VINAYA KRISHNA PUPPALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

VINAYA

Middle

KRISHNA

Last Name

PUPPALA

Business Name

VINAYA KRISHNA PUPPALA

Original Issue Date

08/31/2010

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2014