PRADEEPKUMAR CHARLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157406

License Status

NOT RENEWED

Business

Title

First Name

PRADEEPKUMAR

Last Name

CHARLA

Business Name

PRADEEPKUMAR CHARLA MD

Original Issue Date

06/14/2021

Effective Date

06/14/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

11/30/2023