UMAKANTH AVULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

UMAKANTH

Last Name

AVULA

Business Name

UMAKANTH AVULA MD

Original Issue Date

09/30/2021

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

DYER

State

Zip

46311

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023