SHESHA KALYAN KATAKAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119768

License Status

NOT RENEWED

Business

First Name

SHESHA

Middle

KALYAN

Last Name

KATAKAM

Suffix

Business Name

SHESHA KALYAN KATAKAM MD

Original Issue Date

12/04/2007

Effective Date

12/04/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008