CHITRA R NATALIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

CHITRA

Middle

Last Name

NATALIE

Suffix

Business Name

CHITRA R NATALIE MD

Original Issue Date

01/10/2012

Effective Date

01/10/2012

Expiration Date

07/31/2014

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014