BINDU MADHAVI REPALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

BINDU

Middle

MADHAVI

Last Name

REPALA

Business Name

BINDU MADHAVI REPALA MD

Original Issue Date

11/01/2012

Effective Date

11/01/2012

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014