VENKATA S ERELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109741

License Status

NOT RENEWED

Business

First Name

VENKATA

Middle

Last Name

ERELLA

Suffix

Business Name

VENKATA S ERELLA MD

Original Issue Date

07/18/2003

Effective Date

07/18/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2007