CHANDRA S KORITALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025998

License Status

EXPIRED

Business

First Name

CHANDRA S

Last Name

KORITALA

Suffix

Business Name

CHANDRA S KORITALA MD

Original Issue Date

08/08/1990

Effective Date

08/08/1990

Expiration Date

07/31/1993

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006