VENUGOPAL N CHICKBALLAPUR 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

VENUGOPAL N

Last Name

CHICKBALLAPUR

Suffix

Business Name

VENUGOPAL N CHICKBALLAPUR MD

Original Issue Date

02/02/1990

Effective Date

02/02/1990

Expiration Date

07/31/1990

City

BROOKLYN

State

Zip

11201

County

NEW YORK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006