BABU N PONAKALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

BABU

Middle

Last Name

PONAKALA

Suffix

Business Name

BABU N PONAKALA MD

Original Issue Date

06/23/1997

Effective Date

06/23/1997

Expiration Date

07/31/2005

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020