SANDEEP VENKATA PILLARISETTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060250

License Status

CANCELLED

Business

Title

First Name

SANDEEP

Middle

VENKATA

Last Name

PILLARISETTY

Business Name

SANDEEP VENKATA PILLARISETTY MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/16/2014