EUGENE C ANANDAPPA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

EUGENE

Middle

Last Name

ANANDAPPA

Suffix

Business Name

EUGENE C ANANDAPPA MD

Original Issue Date

08/05/1999

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021