JANE ADDAGATLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101702

License Status

NOT RENEWED

Business

First Name

JANE

Last Name

ADDAGATLA

Suffix

Business Name

JANE ADDAGATLA MD

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006