PRADEEPKUMAR CHARLA MD - Medical Doctor License in Illinois | # 036157406

PRADEEPKUMAR CHARLA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157406

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PRADEEPKUMAR

Last Name

CHARLA

Business Name

PRADEEPKUMAR CHARLA MD

Original Issue Date

06/14/2021

Effective Date

06/14/2021

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/30/2023