SUSEELA MADHAVAREDDY PRASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049698

License Status

NOT RENEWED

Business

First Name

SUSEELA

Middle

MADHAVAREDDY

Last Name

PRASAD

Suffix

Business Name

SUSEELA MADHAVAREDDY PRASAD MD

Original Issue Date

08/28/1974

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021