PRAVEEN JAMMULA 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

First Name

PRAVEEN

Last Name

JAMMULA

Suffix

Business Name

PRAVEEN JAMMULA MD

Original Issue Date

06/19/2007

Effective Date

07/29/2008

Expiration Date

07/31/2011

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011