BHASKAR CHANDU KOLLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050705

License Status

CANCELLED

Business

First Name

BHASKAR

Middle

CHANDU

Last Name

KOLLA

Suffix

Business Name

BHASKAR CHANDU KOLLA MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006