ABHAY KUMAR JELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

ABHAY

Middle

KUMAR

Last Name

JELLA

Suffix

Business Name

ABHAY KUMAR JELLA MD

Original Issue Date

05/07/2002

Effective Date

05/07/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006