SREE VIDYA PILLA 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

Title

First Name

SREE

Middle

VIDYA

Last Name

PILLA

Business Name

SREE VIDYA PILLA MD

Original Issue Date

03/03/2017

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021