PRADEEP GOLLA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125014

License Status

NOT RENEWED

Business

Title

First Name

PRADEEP

Last Name

GOLLA

Business Name

PRADEEP GOLLA DO

Original Issue Date

02/18/2010

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014