SWARUPA INJETI NIMMAGADDA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

SWARUPA

Middle

INJETI

Last Name

NIMMAGADDA

Business Name

SWARUPA INJETI NIMMAGADDA

Original Issue Date

08/01/2001

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023