CHANDRA KANTH KATIKIREDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104167

License Status

NOT RENEWED

Business

First Name

CHANDRA

Middle

KANTH

Last Name

KATIKIREDDY

Suffix

Business Name

CHANDRA KANTH KATIKIREDDY MD

Original Issue Date

02/08/2001

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014