KALYAN CHAKRAVARTHI KANDRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

KALYAN

Middle

CHAKRAVARTHI

Last Name

KANDRA

Business Name

KALYAN CHAKRAVARTHI KANDRA MD

Original Issue Date

02/22/2019

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023